| NPI | 1902424146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB61079077) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2022-01-13 |