| NPI | 1942726237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001251) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 12383970-2506) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2025-11-03 |