| NPI | 1477841187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-11-8870) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 1-11-8870) |
| 103K00000X Behavior Analyst (Licence: FL 1-11-8870) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2022-12-20 |