| NPI | 1659985786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA MH-3138-920318) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-09-11 |