| NPI | 1992496822 |
|---|---|
| Former Name | ANASTASIA MARIA VISTOSO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-08-30 |