| NPI | 1942888144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61345774) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: WA AB61166610) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2022-11-11 |