| NPI | 1417540188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-60179) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-148238) |
| Enumeration Date | 2021-02-14 |
| Last Update Date | 2025-03-10 |