| NPI | 1477124949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI 20-131625) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2022-11-22 |