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Individual
IMANI URIEL LUCAS
Active
Individual
IMANI URIEL LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
00016733
CA
106S00000X
Behavior Technician
Primary
00016733
CA
Other
Enumeration date
02/21/2022
Last updated
03/08/2022
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