| NPI | 1952800229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-19-37759) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 11471260-2506) |
| 103K00000X Behavior Analyst (Licence: UT 1-19-37759) | |
| 106E00000X Assistant Behavior Analyst (Licence: UT 11230040-2507) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2022-08-18 |