| NPI | 1992245872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI LBA00421) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 003571) |
| 103K00000X Behavior Analyst (Licence: NJ 15BC00100800) | |
| 103K00000X Behavior Analyst (Licence: MA 100000942) | |
| 103K00000X Behavior Analyst (Licence: CT 1901) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2025-06-20 |