| NPI | 1427713593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 02113156) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 21-166235) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-12-23 |