| NPI | 1801303326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0311) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-17-40411) |
| 106S00000X Behavior Technician (Licence: NV BACB388383) | |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2020-10-27 |