| NPI | 1487278859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 172V00000X Community Health Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2026-02-06 |