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Individual
LISA HEITZLER
Active
Individual
LISA HEITZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-09-5552
BEHAVIOR ANALYST CERTIFICATION BOARD
CA
Enumeration date
12/20/2012
Last updated
12/20/2012
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