| NPI | 1982498507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103T00000X Psychologist |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |