| NPI | 1457069593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-26-16979) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2026-03-10 |