| NPI | 1255103966 |
|---|---|
| Other Name | KAI ANTHONY BUSTAMANTE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2026-01-14 |