NPI | 1770802696 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
Enumeration Date | 2010-05-18 |
Last Update Date | 2010-05-18 |