NPI | 1831545847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-15-21249) |
Additional Taxonomies | 103K00000X Behavior Analyst |
103K00000X Behavior Analyst (Licence: CA 1-15-21249) | |
Enumeration Date | 2016-05-09 |
Last Update Date | 2018-08-20 |