| NPI | 1871287334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ 22-250437) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2024-05-10 |