| NPI | 1750234555 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: RBT-26-2854252) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2026-02-19 |
| Last Update Date | 2026-09-25 |