NPI | 1609115369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-12-12387) |
103K00000X Behavior Analyst (Licence: PA BH000158) | |
103K00000X Behavior Analyst (Licence: VA 0133000226) | |
103K00000X Behavior Analyst (Licence: MD LBA972) | |
Enumeration Date | 2013-01-31 |
Last Update Date | 2024-09-10 |