| NPI | 1639712409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2025-06-02 |