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Individual
MARCUS HIBBARD
Active
Individual
MARCUS HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-27952
LA
103K00000X
Behavior Analyst
Primary
2021047070
MO
Other
Enumeration date
09/28/2017
Last updated
06/14/2022
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