| NPI | 1588414932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA Y6765685) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 111504) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |