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 |