| NPI | 1952863698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 247200000X Technician, Other | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |