| NPI | 1396562807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-24-386978) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-10-22 |