| NPI | 1841874328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA BACB662298) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA BACB662298) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-11 |