| NPI | 1417301532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: NV 0-19-9614) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV RBT-15-02170) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2019-06-18 |