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Individual
ELIANNI M DE LARA
Active
Individual
ELIANNI M DE LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-143163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111755200
—
FL
Enumeration date
10/29/2021
Last updated
10/29/2021
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