NPI | 1699264879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW19849) |
Enumeration Date | 2018-05-03 |
Last Update Date | 2024-02-08 |