| NPI | 1396454666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist (Licence: ID 21273) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2024-04-22 |