NPI | 1669965760 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61128062) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-06-13 |
Last Update Date | 2021-11-12 |