| NPI | 1841661998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ND L27P) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-15-19888) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2023-09-06 |