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Individual
THOMAS DOUGLAS
Active
Individual
THOMAS DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106E00000X
GA
106S00000X
Behavior Technician
RBT-21-177283
GA
Other
Enumeration date
07/27/2021
Last updated
08/31/2023
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