NPI | 1962743732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: 0-12-5107) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-12-5107) |
Enumeration Date | 2013-03-04 |
Last Update Date | 2019-07-02 |