| NPI | 1780291161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-19-91195) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2023-05-11 |