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Individual
EMILY STAFFORD
Active
Individual
EMILY STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-228216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115165600
—
FL
Enumeration date
09/09/2022
Last updated
09/09/2022
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