| NPI | 1538958434 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-25-82102) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: IN 0-25-15858) |
| 106S00000X Behavior Technician (Licence: IN RBT-22-240560) | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-06-26 |