| NPI | 1750899449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CA 0-20-11555) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-33650) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2023-01-31 |