NPI | 1417665019 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
Additional Taxonomies | 103K00000X Behavior Analyst |
104100000X Social Worker | |
171M00000X Case Manager/Care Coordinator | |
171WH0202X Contractor, Home Modifications | |
172A00000X Driver | |
Enumeration Date | 2022-11-11 |
Last Update Date | 2022-11-11 |