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Individual
KAYLIN MELISSA MOSS
Active
Individual
KAYLIN MELISSA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40133
FL
222Q00000X
Developmental Therapist
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017975700
—
FL
05
—
110018700
—
FL
Enumeration date
06/28/2016
Last updated
03/29/2022
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