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Individual
KATHERINE O'SHIELDS
Active
Individual
KATHERINE O'SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
22236446
SC
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22--236446
BACB
—
Enumeration date
10/03/2022
Last updated
11/09/2023
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