| NPI | 1447148788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT25448030) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL BACB1335742) |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-26 |