| NPI | 1740893189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: TN LABA35) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-19-80383) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2022-09-01 |