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Individual
MERISSA N NUTT
Active
Individual
MERISSA N NUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31383
CA
106S00000X
Behavior Technician
RBT-15-02114
CA
Other
Enumeration date
01/31/2018
Last updated
10/25/2021
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