NPI | 1558975300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-53406) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-20-11667) |
106S00000X Behavior Technician (Licence: CA 00002434) | |
Enumeration Date | 2020-08-31 |
Last Update Date | 2022-10-13 |