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 |