NPI | 1225682016 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-24-74905) |
106S00000X Behavior Technician | |
Enumeration Date | 2019-07-30 |
Last Update Date | 2024-08-12 |