| NPI | 1790340263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-18-73913) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2025-03-24 |