| NPI | 1447609698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-22-62643) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL BCaBA-0-17-8438) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2024-04-04 |