| NPI | 1619636701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA F5005079) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2022-03-09 |