| NPI | 1942634308 |
|---|---|
| Former Name | ISAAC J NTIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: DC 2071) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: DC 2071) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2022-07-21 |