NPI | 1982172409 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-68672) |
Enumeration Date | 2018-11-02 |
Last Update Date | 2023-03-21 |