| NPI | 1740942689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1104368844) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-11-08 |