| NPI | 1801564786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB661625) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2025-07-14 |