| NPI | 1720824014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 372500000X Chore Provider | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2024-07-05 |