| NPI | 1811708886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-406319) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT-25-406319) |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-03-07 |