| NPI | 1972146207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-19-98011) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2023-05-16 |