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Individual
MIARA ELMORE
Active
Individual
MIARA ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-19-80379
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-80379
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-80379
BACB
GA
Enumeration date
03/07/2019
Last updated
03/07/2019
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