| NPI | 1902791056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 7JPB447) |
| 103K00000X Behavior Analyst (Licence: CA 7JPB447) | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |