NPI | 1871123646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-25-16052) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-01-21 |
Last Update Date | 2025-06-06 |