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Individual
GINA MASTROIANNI
Active
Individual
GINA MASTROIANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
B-10213319
OR
103K00000X
Behavior Analyst
BEH-000567
AZ
Other
Enumeration date
04/13/2020
Last updated
07/06/2021
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