| NPI | 1851019376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: TX RBT-22-233350) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: TX RBT-22--233350) | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-09-30 |