| NPI | 1770815441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: OH 0-07-2340) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-07-2340) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2025-10-23 |