| NPI | 1689440380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-23-314057) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2024-06-24 |