NPI | 1356165724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 1041S0200X Social Worker, School |
106S00000X Behavior Technician | |
Enumeration Date | 2024-11-13 |
Last Update Date | 2024-11-15 |