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 |