| NPI | 1700233442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 247200000X Technician, Other (Licence: FL RBT15-11292) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2021-04-29 |