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Individual
SIERRA ROOS
Active
Individual
SIERRA ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1730841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730841
RBT
FL
Enumeration date
04/18/2017
Last updated
04/18/2017
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