| NPI | 1871132290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14767) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-24-75488) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2024-09-09 |