| NPI | 1811463433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 646) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-21-50749) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2023-12-01 |