NPI | 1659057594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-25-16234) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-280947) |
Enumeration Date | 2023-06-26 |
Last Update Date | 2025-09-25 |