NPI | 1861159121 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: VA 0-21-13178) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-21-161513) |
Enumeration Date | 2021-11-22 |
Last Update Date | 2021-11-27 |