| NPI | 1427344886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 677) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000969) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2025-06-16 |