| NPI | 1750981536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR ABA-IN-10210496) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2023-09-06 |