| NPI | 1831668193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-18-31961) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-18-31961) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |