| NPI | 1699231035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-36188) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OK 1-19-36188) |
| 103K00000X Behavior Analyst (Licence: TX 3640) | |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2024-08-14 |