| NPI | 1467179382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL BACB-0-23-14472) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2024-05-17 |