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Individual
MARY A PITT
Active
Individual
MARY A PITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60005
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194370908
—
FL
Enumeration date
08/08/2019
Last updated
10/05/2022
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