| NPI | 1700330073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA T65976057) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2022-05-12 |