| NPI | 1699653006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO RBT-25-465879) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-25-465879) |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |