| NPI | 1881289759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IL RBT-22-221326) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2025-07-18 |