NPI | 1548755390 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: WA AB60973210) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-06-25 |
Last Update Date | 2024-06-13 |