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Individual
JASON ANDREW MOULD
Active
Individual
JASON ANDREW MOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14274
FL
106S00000X
Behavior Technician
RBT-19-108988
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105169200
—
FL
Enumeration date
02/09/2022
Last updated
02/01/2023
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