| NPI | 1851255236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251E00000X Home Health | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-10 |