| NPI | 1598209157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1073220) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 6482) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2024-03-28 |