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Individual
COURTNEY A CHAPIN
Active
Individual
COURTNEY A CHAPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
021079100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EAHCA013Z
—
FL
Enumeration date
12/01/2017
Last updated
12/01/2017
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