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Individual
MRS. ALYCIA FRANCESCA TABORN
Active
Individual
MRS. ALYCIA FRANCESCA TABORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
13825
NC
171W00000X
Contractor
Primary
04200866325
NC
Other
Enumeration date
09/07/2023
Last updated
04/17/2024
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