| NPI | 1528517778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3484) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3884) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2022-12-13 |