NPI | 1528430311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI LBA00006) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI 1-15-21233) |
Enumeration Date | 2015-10-20 |
Last Update Date | 2025-08-25 |