NPI | 1770326928 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-24-73278) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 003598) |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-06-17 |