| NPI | 1538832696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI LBA-880-0) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-20-135010) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2024-08-21 |