| NPI | 1497116578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-14-9890) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-14-9890) |
| 103K00000X Behavior Analyst (Licence: OH COBA.01257) | |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2025-04-21 |