| NPI | 1679926976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-16-18202) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT-16-18202) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2021-04-13 |