| NPI | 1518693761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA Y4620530) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA Y4620530) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-09-26 |