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Individual
CHARLES CORUM
Active
Individual
CHARLES CORUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-38776
FL
103K00000X
Behavior Analyst
Primary
1-19-38776
—
106S00000X
Behavior Technician
247200000X
FL
Other
Enumeration date
12/19/2016
Last updated
11/16/2023
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