| NPI | 1811889280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT5549) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-25-451875) |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-09-10 |