| NPI | 1912654922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-190425) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |