| NPI | 1689464331 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-26-2852556) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: IN 0-25-15940) |
| 106S00000X Behavior Technician (Licence: IN RBT-21-176273) | |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2026-09-21 |