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Individual
SURANNY QUINTERO
Active
Individual
SURANNY QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-12599
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q536780937220
DL
FL
Enumeration date
07/28/2021
Last updated
07/28/2021
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