| 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 |