| NPI | 1477151397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00015068) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-09-08 |