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Individual
JUAN C PASTRANA PEREZ
Active
Individual
JUAN C PASTRANA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-286088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-286088
BACB FLORIDA
FL
Enumeration date
08/10/2023
Last updated
08/10/2023
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