| NPI | 1477350528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2026-08-17 |