| NPI | 1831595420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1846) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1119679) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2024-10-08 |