| NPI | 1699341883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-25-82013) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2025-08-05 |