| NPI | 1396561288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT-24-376658) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT4578) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |