| NPI | 1427799170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-22-58558) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH008028) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-09-17 |