NPI | 1508322108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
2255R0406X Specialist/Technologist, Rehabilitation, Blind | |
Enumeration Date | 2019-02-19 |
Last Update Date | 2020-01-09 |