| NPI | 1841847712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-984) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA 011307154) |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2025-05-19 |