NPI | 1013584135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-170657) |
Enumeration Date | 2021-06-08 |
Last Update Date | 2022-08-25 |