| NPI | 1598643355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 372600000X Adult Companion | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2026-01-11 |