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Individual
PHILIP JAMES SCULLY
Active
Individual
PHILIP JAMES SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35332
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-35332
BACB
CA
Enumeration date
03/25/2019
Last updated
07/25/2024
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