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Individual
ANTONIO MORALES
Active
Individual
ANTONIO MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
CCM100265-AC
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-42347
BACB
FL
01
—
M642000630171
LICENSE
FL
Enumeration date
02/23/2018
Last updated
10/12/2020
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