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Individual
THERESA MCCOIN
Active
Individual
THERESA MCCOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-120485
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-120485
BEHAVIOR TECHNICIAN
TN
Enumeration date
05/28/2020
Last updated
05/28/2020
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