| NPI | 1598528184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA f7142652) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-08-29 |