| NPI | 1922666098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-10936) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2020-03-05 |