| NPI | 1841831369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-25-81131) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-10-06 |
| Last Update Date | 2025-05-07 |