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Individual
ANDREA SIMPSON
Active
Individual
ANDREA SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSL
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002365
PA
174400000X
Specialist
—
NULL
Other
Enumeration date
12/01/2014
Last updated
02/12/2015
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