| NPI | 1780292771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1780292771) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2023-10-11 |