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Individual
HAROLD JOHANESSEN JR.
Active
Individual
HAROLD JOHANESSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA 1-01-0582
FL
Other
Enumeration date
05/02/2011
Last updated
04/12/2013
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