| NPI | 1457905960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-93387) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2023-01-20 |