| NPI | 1851941884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0925) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT0334) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2024-09-19 |