| NPI | 1649803941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-20-112794) |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2023-02-09 |