NPI | 1790412385 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 103K00000X Behavior Analyst |
106E00000X Assistant Behavior Analyst | |
106S00000X Behavior Technician | |
Enumeration Date | 2022-08-03 |
Last Update Date | 2022-08-03 |