NPI | 1407367840 |
---|---|
Other Name | TOM CARIVEAU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5215) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-15-21039) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2018-03-29 |