| NPI | 1912781360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 374U00000X Home Health Aide (Licence: DC HHA200003807) | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-05-15 |