| NPI | 1346941283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 247000000X Technician, Health Information | |
| 175T00000X Peer Specialist | |
| 225800000X Recreation Therapist | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |