NPI | 1467112441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-14970) |
Additional Taxonomies | 106S00000X Behavior Technician |
106S00000X Behavior Technician | |
Enumeration Date | 2021-12-18 |
Last Update Date | 2024-02-19 |