| NPI | 1598418394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ND 1-24-74199) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 174400000X Specialist | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2024-07-16 |