NPI | 1487115580 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CO 12102) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: 1981512) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2021-12-03 |