NPI | 1629712211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-22-60103) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-19-106221) |
Enumeration Date | 2022-04-21 |
Last Update Date | 2022-07-22 |