| NPI | 1801514153 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: TX RBT-22-231989) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-22-231989) | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-08-22 | 
| Last Update Date | 2023-01-09 |