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Individual
GENTIL KALISA
Active
Individual
GENTIL KALISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBS
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH008213
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32272716
DL
PA
Enumeration date
01/05/2026
Last updated
01/05/2026
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