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Individual
PATRIA VIZCAINO
Active
Individual
PATRIA VIZCAINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74739
FL
106E00000X
Assistant Behavior Analyst
0-21-12949
FL
106S00000X
Behavior Technician
RBT-19-94146
FL
Other
Enumeration date
02/13/2020
Last updated
11/05/2025
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