NPI | 1841556321 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV LBAT042011) |
Enumeration Date | 2012-04-09 |
Last Update Date | 2022-06-17 |