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 |