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Individual
COURTNEY JAMES BROOME
Active
Individual
COURTNEY JAMES BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000636
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-45718
BACB
AZ
01
—
BEH-000636
AZ BOARD OF PHYCOLOGIST EXAMINERS
AZ
Enumeration date
06/28/2016
Last updated
02/04/2021
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