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Individual
DEREK WILLIAM PISANA
Active
Individual
DEREK WILLIAM PISANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-41888
FL
Other
Enumeration date
04/05/2017
Last updated
10/05/2018
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