| NPI | 1568128171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IL RBT-21-179060) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL RBT-21-179060) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2022-06-20 |