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Individual
GEOMARIS BALLESTA
Active
Individual
GEOMARIS BALLESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-158975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-158975
BACB
FL
Enumeration date
05/03/2021
Last updated
03/06/2026
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