| NPI | 1477156040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: NV 2106114604) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NE 2106114604) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |