| NPI | 1467923482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR 10243638) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-23-14844) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2024-05-21 |