| NPI | 1427643782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 3318) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: MI 7402000170) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2025-09-29 |