| NPI | 1619782257 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-25-411307) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-25-411307) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-07-03 |