| NPI | 1932361045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-03-1237) |
| Additional Taxonomies | 225500000X Specialist/Technologist (Licence: SC BCBA 1-03-1237) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2017-06-27 |