| NPI | 1639660871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-35213) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2023-11-28 |