| NPI | 1992055479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CA 0-15-6485) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2019-09-12 |