NPI | 1669202271 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst | |
103T00000X Psychologist | |
225100000X Physical Therapist | |
Enumeration Date | 2024-08-07 |
Last Update Date | 2025-05-21 |