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 |