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Individual
MACIEL ROA
Active
Individual
MACIEL ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB829782
IL
235Z00000X
Speech-Language Pathologist
Primary
242.018634
IL
Other
Enumeration date
03/10/2023
Last updated
07/11/2026
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