| NPI | 1467063735 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-20-43614) |
| 103K00000X Behavior Analyst | |
| 103K00000X Behavior Analyst (Licence: GA BACB373857) | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2024-12-28 |