NPI | 1710793211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: AZ RBT-25-419935) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2024-12-09 |
Last Update Date | 2025-03-18 |