| NPI | 1851039283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-001380) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2023-12-27 |