NPI | 1932506953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: MA S26882443) |
Enumeration Date | 2014-11-20 |
Last Update Date | 2022-03-29 |