| NPI | 1831723923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-110740) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2024-10-24 |