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Individual
SAMUEL GARCIA
Active
Individual
SAMUEL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-92581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-92581
RBT
CA
Enumeration date
08/13/2020
Last updated
08/13/2020
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