NPI | 1588104442 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002470) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133003665) |
Enumeration Date | 2017-02-26 |
Last Update Date | 2024-06-11 |