| NPI | 1801373584 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AK 231957) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: AK 153616) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2025-02-12 |