| NPI | 1851908933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CO 0-24-15174) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: CO RBT-20-136364) | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2026-06-09 |