| NPI | 1447877634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: GA 0-23-14593) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-20-125318) |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2023-10-25 |