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Individual
MR. KIERAN MICHAEL POTTERTON
Active
Individual
MR. KIERAN MICHAEL POTTERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0000000188
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-30560
BOARD CERTIFIED BEHAVIOR ANALYST
—
01
—
LBA0000000188
LICENSED BEHAVIOR ANALYST
TN
Enumeration date
07/09/2018
Last updated
11/06/2020
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