| NPI | 1881281731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-75853) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2024-09-30 |