| NPI | 1174410856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |