| NPI | 1538527882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 12258955) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-22-58955) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2024-08-20 |