| NPI | 1093428492 |
|---|---|
| Former Name | LAWRENCE EUGENE GOMES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2022-12-30 |