NPI | 1720656622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-25-16479) |
Enumeration Date | 2021-06-16 |
Last Update Date | 2025-09-21 |