| NPI | 1942005228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-25-82637) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-23-264461) |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-11-06 |