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Individual
MARK VINCENZO CREVELLI
Active
Individual
MARK VINCENZO CREVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36925
CA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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