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Individual
KELLY B CALDARAS
Active
Individual
KELLY B CALDARAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018786800
—
FL
Enumeration date
06/21/2013
Last updated
02/11/2019
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