NPI | 1891180063 |
---|---|
Former Name | MATTHEW R MONAHAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224158) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 1-18-32319) |
106E00000X Assistant Behavior Analyst (Licence: MI 0-17-7620) | |
Enumeration Date | 2015-04-03 |
Last Update Date | 2024-07-08 |