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Individual
MR. SAMUEL JUDD
Active
Individual
MR. SAMUEL JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71059
FL
106E00000X
Assistant Behavior Analyst
0-23-14623
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-24-71059
BACB
—
05
—
102795100
—
FL
Enumeration date
10/07/2019
Last updated
02/18/2025
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