NPI | 1407363021 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-54132) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR AB-IN-10178943) |
Enumeration Date | 2018-01-04 |
Last Update Date | 2022-11-21 |