| NPI | 1457003030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-22-200609) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2025-02-26 |