| NPI | 1932449170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-13-13181) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-13-13181) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2023-02-16 |