| NPI | 1699233718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT2011245) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2021-08-03 |