| NPI | 1538770946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-25-15943) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL rbt-20-120181) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2025-03-24 |