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Individual
YISEL MONTEAGUDO SALAZAR
Active
Individual
YISEL MONTEAGUDO SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019577100
—
FL
Enumeration date
01/06/2017
Last updated
06/08/2018
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