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Individual
CAMILLE SERRANO
Active
Individual
CAMILLE SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ABA, RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461039
DRIVING LICENSE
NY
Enumeration date
10/04/2019
Last updated
10/04/2019
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