| NPI | 1093386542 |
|---|---|
| Other Name | JAY SAN PEDRO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-05-04 |