| NPI | 1063274710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-10-22 |