NPI | 1396352209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-62962) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-20-126918) |
Enumeration Date | 2020-09-24 |
Last Update Date | 2022-12-02 |