NPI | 1679054399 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 488) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-18-52104) |
Enumeration Date | 2018-08-22 |
Last Update Date | 2023-03-21 |