| NPI | 1801467840 |
|---|---|
| Other Name | JACK MERCHANT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2026-05-01 |