NPI | 1962042218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: WA LABA.AB.61340605) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2020-01-14 |
Last Update Date | 2024-05-14 |