| NPI | 1982432183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 95001638A) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 1-24-74052) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2026-06-24 |