NPI | 1689150492 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101Y00000X Counselor |
106S00000X Behavior Technician | |
171400000X Health & Wellness Coach | |
Enumeration Date | 2018-07-15 |
Last Update Date | 2023-05-01 |