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Individual
GIOLETTE NICOLE LISENKO TORRES
Active
Individual
GIOLETTE NICOLE LISENKO TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37771
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020649600
—
FL
01
—
1-19-37771
BCBA
FL
01
—
RBT-17-43674
RBT
—
Enumeration date
05/18/2018
Last updated
03/22/2021
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