| NPI | 1457640104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 3685) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-10-7092) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2026-07-06 |