NPI | 1356101414 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-24-332334) |
Enumeration Date | 2024-03-19 |
Last Update Date | 2025-06-14 |