NPI | 1710426119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-19-85914) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-02-17 |
Last Update Date | 2021-09-27 |