| NPI | 1528746922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT-24-347236) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 172V00000X Community Health Worker (Licence: NV CHW1-5478) | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2024-08-27 |