| NPI | 1750272910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |