| NPI | 1447803697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-70982) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-92661) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2024-12-30 |