| NPI | 1336234038 |
|---|---|
| Former Name | BENJAMIN OCEGUEDA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 124625) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: WA SC61567484) | |
| 106S00000X Behavior Technician | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-12-04 |