| NPI | 1467721050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1904) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 95) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2024-08-06 |