NPI | 1679268759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO bacb650671) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO bacb650671) |
Enumeration Date | 2023-04-05 |
Last Update Date | 2023-04-06 |