NPI | 1992011357 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-02-0969) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-001339) |
Enumeration Date | 2010-08-24 |
Last Update Date | 2024-10-18 |