NPI | 1669992574 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
227800000X Respiratory Therapist, Certified | |
222Q00000X Developmental Therapist | |
Enumeration Date | 2017-06-21 |
Last Update Date | 2024-01-02 |