NPI | 1700459351 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 247200000X Technician, Other |
261QC1500X Clinic/Center, Community Health (Licence: NV 1689233579) | |
Enumeration Date | 2021-07-21 |
Last Update Date | 2022-12-28 |