| NPI | 1942742341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-301) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-16-25760) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2019-07-17 |