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Individual
DEREK VIKTOR-CARR ODGERS
Active
Individual
DEREK VIKTOR-CARR ODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-276071
FL
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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