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Individual
DANIEL B EDMONDS
Active
Individual
DANIEL B EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-44276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018625600
—
FL
Enumeration date
10/12/2018
Last updated
10/12/2018
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