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Individual
MICHELLE L BRANTLEY
Active
Individual
MICHELLE L BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51140
—
106S00000X
Behavior Technician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023013900
—
FL
Enumeration date
01/18/2018
Last updated
07/26/2021
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