| NPI | 1225399967 |
|---|---|
| Former Name | STEPHEN MARK SANDON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 8216) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |