| NPI | 1457775272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA27) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 1-13-14877) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2023-04-27 |