| NPI | 1437040417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: NM 04000277) |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-09 |