| NPI | 1497107726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV 16-21212) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV RBT-16-21212) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2021-05-03 |