| 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 |