| NPI | 1548054299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI RBT-25-416577) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI 619987) |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |