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 |