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Individual
MICHAEL WATKINS
Active
Individual
MICHAEL WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-15963
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB322753
BEHAVIOR TECHNICIAN
UT
Enumeration date
10/05/2016
Last updated
10/05/2016
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