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Individual
CYNTHIA BARDELL
Active
Individual
CYNTHIA BARDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43375
IL
106S00000X
Behavior Technician
RBT-17-46043
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UWBAN2675853
BLUECROSS BLUESHIELD
IL
Enumeration date
03/21/2018
Last updated
05/05/2021
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