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 |