| NPI | 1437760360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NV CHW1-5946) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2025-10-09 |