| NPI | 1467901322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 002507) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 174400000X Specialist (Licence: NY 1609961221) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2023-01-29 |