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Individual
JADA ABRIELLE LOVE
Active
Individual
JADA ABRIELLE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-86083
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-86083
RBT
—
Enumeration date
05/08/2019
Last updated
03/10/2021
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