| NPI | 1841838380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MA 106S00000X) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |