| NPI | 1649032046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI B320362040101) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI B320362040101) |
| 106E00000X Assistant Behavior Analyst (Licence: MI B320362040101) | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |