| NPI | 1851010953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-22-227635) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-25-85617) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2025-11-10 |