| NPI | 1568056299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-5048) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: MT PSY-ABA-LIC-4512) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-04-09 |