| NPI | 1851177158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: ZZ 2545005702) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |