NPI | 1922514355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-21-54635) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-12-21 |
Last Update Date | 2022-04-06 |