| NPI | 1407982499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301011336) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-08-02 |