| NPI | 1760678783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0029) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY LBA143) |
| 103K00000X Behavior Analyst (Licence: TN BCBA 1-02-0938) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2018-08-22 |