| NPI | 1891444055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 21-176093) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 21-176093) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2024-09-11 |