| NPI | 1912731118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-24-384381) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2025-07-23 |