NPI | 1467112441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-82255) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-14970) |
106S00000X Behavior Technician | |
106S00000X Behavior Technician | |
Enumeration Date | 2021-12-18 |
Last Update Date | 2025-09-24 |