| NPI | 1609479286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-850) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-145025) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2024-03-20 |