NPI | 1700592789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-15356) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-22-249780) |
106S00000X Behavior Technician (Licence: FL 22249780) | |
Enumeration Date | 2023-01-24 |
Last Update Date | 2024-07-10 |