| NPI | 1487381018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 15BC00042800) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 003587-01) |
| 103K00000X Behavior Analyst (Licence: CT 1969) | |
| 103K00000X Behavior Analyst (Licence: PA BH007491) | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2026-05-13 |