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Individual
JASHAE REID
Active
Individual
JASHAE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-268250
REGISTERED BEHAVIOR TECHNICIAN
SC
Enumeration date
06/15/2023
Last updated
06/15/2023
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