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Individual
SANDRA ALTHEA HOUSTON
Active
Individual
SANDRA ALTHEA HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225734486
—
FL
01
—
572149297
PASSPORT
FL
01
—
H235781669190
DRIVERS LICENSE
FL
Enumeration date
01/31/2023
Last updated
06/10/2023
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