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Individual
RACHEL BLACK
Active
Individual
RACHEL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-146572
TX
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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