NPI | 1851906853 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 103K00000X Behavior Analyst |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2020-09-15 |
Last Update Date | 2020-09-15 |