| NPI | 1053004978 |
|---|---|
| Former Name | SUMMER ANN THORNTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2025-01-10 |