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Individual
LISA ABDALLA
Active
Individual
LISA ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, RMHCI
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH27131
FL
103K00000X
Behavior Analyst
1-03-1195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689682196
—
FL
Enumeration date
08/02/2014
Last updated
01/23/2025
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