| NPI | 1437628658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-22-13633) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-55600) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2022-05-02 |