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Individual
SANDRA CAZARES
Active
Individual
SANDRA CAZARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12845
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-12845
BCBA LICENSE
CA
Enumeration date
12/19/2016
Last updated
12/19/2016
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