NPI | 1861069726 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 1235677) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-06-09 |
Last Update Date | 2021-06-09 |