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Individual
TODD OPITZ
Active
Individual
TODD OPITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
164W00000X
Licensed Practical Nurse
PN276101
PA
Other
Enumeration date
08/17/2009
Last updated
02/20/2015
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