NPI | 1396309142 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-73113) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-04-26 |
Last Update Date | 2024-06-07 |