| NPI | 1992573265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-23-269917) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |