| NPI | 1922800838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 003154-01) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1591) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |