| NPI | 1912783309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 21-153722) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-10-25 |