| NPI | 1548611833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-20-44307) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT-15-11547) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2021-02-23 |