| NPI | 1710606777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-22-234040) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-08-22 |