NPI | 1700593498 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-271934) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2022-11-01 |
Last Update Date | 2023-12-16 |