| NPI | 1821416181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.01247) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-14-15548) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2023-12-06 |