NPI | 1629504626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV 1-19-38313) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-17-33627) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2022-11-04 |