| NPI | 1558950931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-148921) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2022-11-14 |