| NPI | 1598229569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-33373) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2020-07-13 |