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Individual
EDMUND ROBERTO SANTOS
Active
Individual
EDMUND ROBERTO SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT-15-02170
NV
106E00000X
Assistant Behavior Analyst
Primary
0-19-9614
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-19-9614
BACB
NV
Enumeration date
04/14/2016
Last updated
06/18/2019
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