| NPI | 1962961037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-22-209585) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-10-17 |