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Individual
KEITH JAMES RICO
Active
Individual
KEITH JAMES RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBA, BCBA, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
005193
NY
103K00000X
Behavior Analyst
Primary
000045
NY
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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