NPI | 1598449431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA1750) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 529) |
Enumeration Date | 2023-06-12 |
Last Update Date | 2023-06-12 |