NPI | 1508002452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA d4084090) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2008-12-24 |
Last Update Date | 2019-04-03 |