| NPI | 1396202040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT-19-79428) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT0254) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2023-11-27 |