NPI | 1558191361 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-362732) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL RBT-20-120383) |
Enumeration Date | 2024-08-06 |
Last Update Date | 2025-07-02 |