| 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 |