| NPI | 1669215851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-35331) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-24-353311) |
| 106S00000X Behavior Technician (Licence: RBT24353311) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |