NPI | 1760998751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-68453) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB319097) |
Enumeration Date | 2017-12-28 |
Last Update Date | 2023-09-26 |