| NPI | 1114663622 |
|---|---|
| Former Name | CRAIG O'MEARA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR 21-QMHA-I-003238) |
| Enumeration Date | 2022-05-08 |
| Last Update Date | 2022-05-15 |