| NPI | 1447885975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR ABA-B-10253454) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2025-03-31 |