NPI | 1538834791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX 23551071) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 23551071) |
Enumeration Date | 2021-08-10 |
Last Update Date | 2021-08-24 |