| NPI | 1548537483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 1-13-13998) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 9550088-2506) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2017-10-14 |