NPI | 1801234059 |
---|---|
Other Name | TODD JULIAN PEAY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106S00000X Behavior Technician | |
Enumeration Date | 2013-06-10 |
Last Update Date | 2022-08-30 |