| NPI | 1992283451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61220817) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: WA AB61102179) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2025-06-29 |