NPI | 1528528759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-34512) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-03-22 |
Last Update Date | 2019-04-29 |