| NPI | 1043612146 |
|---|---|
| Former Name | MIGUEL A ELGUETA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-76364) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12058) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2025-05-12 |