| NPI | 1487538740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 39-3343947) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ $$$$$$$$$) |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |