| NPI | 1871244996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: NM 0-26-170033) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2026-06-15 |