| NPI | 1467812826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-17-25724) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-16-7295) |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2017-12-05 |