| NPI | 1801476254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: NV RBT5596) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: NV PT08287) |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2025-07-31 |