| NPI | 1730520347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MS 160024) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 1-13-13933) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2024-03-21 |