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Individual
QUINCY CECILIA WOODRUFF
Active
Individual
QUINCY CECILIA WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBS
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BACB556517
NULL
103K00000X
Behavior Analyst
Primary
BH005851
PA
225A00000X
Music Therapist
15313
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103800593-0001
—
PA
Enumeration date
10/20/2019
Last updated
03/28/2026
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