| NPI | 1700322443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV 12044166) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-13920) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2022-09-26 |