| NPI | 1487423125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA APF-1700929883-25666) |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |