| NPI | 1992468177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-781-0) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-21-169815) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2023-06-27 |