| NPI | 1922513803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0594) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-17-30521) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2022-03-30 |