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Individual
MR. SAMRAT ROY
Active
Individual
MR. SAMRAT ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
SP16034
CA
Other
Enumeration date
12/28/2012
Last updated
05/19/2022
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