| NPI | 1023756566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2023-06-19 |