NPI | 1568112340 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: IL RBT-22-207633) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2022-03-25 |
Last Update Date | 2022-03-25 |