NPI | 1063946598 |
---|---|
Other Name | SETH BOUN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CG60751914) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2024-06-17 |