| NPI | 1992375497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-24-73358) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: OK 0-23-14245) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-06-24 |