| NPI | 1619665155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-23-270344) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-03-09 |