NPI | 1992295182 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-18-33737) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 16-23039) |
Enumeration Date | 2018-05-14 |
Last Update Date | 2019-02-07 |