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Individual
KELLIE BIAD
Active
Individual
KELLIE BIAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-41169
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F2601235
DRIVER'S LICENSE
CA
Enumeration date
10/02/2017
Last updated
08/07/2020
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