| NPI | 1558721597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9644) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-16-20080) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2022-03-11 |