| NPI | 1407251655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst | |
| 103K00000X Behavior Analyst | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2024-11-08 |