| NPI | 1366159451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 174H00000X Health Educator |
| 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner | |
| 374700000X Technician | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-01-04 |