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Individual
LAURA DOUGHERTY
Active
Individual
LAURA DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, RBT
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-358957
THE HOLMAN GROUP
—
Enumeration date
10/04/2017
Last updated
10/04/2017
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