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 |