| NPI | 1568012318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL QASP-S-11446) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-98977) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2021-08-02 |