| NPI | 1477863777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 225700000X Massage Therapist (Licence: FL MA-49555) | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2022-10-01 |