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Individual
SHANIA QUALLO
Active
Individual
SHANIA QUALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76933
FL
106S00000X
Behavior Technician
RBT-20-111174
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-24-76933
BACB
FL
05
—
113368200
—
FL
01
—
RBT-20-111174
BACB
FL
Enumeration date
08/05/2020
Last updated
11/27/2024
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