| NPI | 1437547122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-14-16883) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 1-14-16883) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2024-03-21 |