| NPI | 1740077155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 174H00000X Health Educator | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 372600000X Adult Companion | |
| 103K00000X Behavior Analyst | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |