| NPI | 1952995680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA 1952995680) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-07-21 |