| NPI | 1699225185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA CG60704455) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-28 |