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Individual
JULIA MARGARET RUSSELL ROE
Active
Individual
JULIA MARGARET RUSSELL ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53784
FL
106S00000X
Behavior Technician
RBT-21-170499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-53784
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
RBT-21-170499
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
10/04/2021
Last updated
10/04/2021
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