NPI | 1841792413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61465197) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-18-34189) |
106S00000X Behavior Technician | |
Enumeration Date | 2018-02-28 |
Last Update Date | 2023-07-28 |