| NPI | 1437874450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.01507) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT22238966) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2024-10-17 |