| NPI | 1427892777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL a536724034700) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2025-08-15 |