| NPI | 1780988386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV 0145) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000027) |
| 103K00000X Behavior Analyst (Licence: WA BA60807646) | |
| 103K00000X Behavior Analyst (Licence: VT 146.0124394) | |
| 103K00000X Behavior Analyst (Licence: 1-10-7411) | |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2018-12-18 |