| NPI | 1629747332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-20-125445) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2025-04-17 |