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Individual
LANCE WHITE
Active
Individual
LANCE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-167706
KY
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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