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Individual
BERLYN SMALL
Active
Individual
BERLYN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-196952
IN
Other
Enumeration date
12/20/2021
Last updated
10/06/2023
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