NPI | 1467832873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 918394151) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 613543122) |
103K00000X Behavior Analyst (Licence: NY 464755101) | |
Enumeration Date | 2015-06-02 |
Last Update Date | 2015-06-02 |