| NPI | 1831894336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT3436) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-09-18 |