| NPI | 1427585611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-20951) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2024-08-21 |