NPI | 1780221382 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-863) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-21-12476) |
106S00000X Behavior Technician (Licence: RBT-19-104933) | |
Enumeration Date | 2019-12-03 |
Last Update Date | 2024-08-06 |