| NPI | 1528507837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: ME 815224290) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: ME 815224290) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |