| NPI | 1861288003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL rbt-24-383305) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 247200000X Technician, Other (Licence: FL 24-383305) | |
| 374700000X Technician (Licence: FL rbt-24-383305) | |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |