NPI | 1497521405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 23-313950) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2023-11-30 |
Last Update Date | 2023-12-01 |