| NPI | 1447844378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001750) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-21-47042) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2025-02-25 |