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Individual
TORREY LYN LARISCH
Active
Individual
TORREY LYN LARISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11046822-2506
UT
Other
Enumeration date
11/08/2020
Last updated
07/12/2022
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