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Individual
MIRANDA M COURTEAUX
Active
Individual
MIRANDA M COURTEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-64235
FL
222Q00000X
Developmental Therapist
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222
0
FL
Enumeration date
07/24/2018
Last updated
07/18/2019
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