NPI | 1417555376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-125706) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 20125706) |
Enumeration Date | 2020-10-13 |
Last Update Date | 2021-09-20 |