| NPI | 1851853352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 00776) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2024050227) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-01-27 |