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Individual
JAMIE LEE DESCALZO
Active
Individual
JAMIE LEE DESCALZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/22/2018
Last updated
08/17/2023
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