| NPI | 1902283708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12784) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-56254) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2021-09-20 |