| NPI | 1871219758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT2976) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-22-237650) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |