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Individual
BLAIR LESLIE DEJEAN ARMSTRONG
Active
Individual
BLAIR LESLIE DEJEAN ARMSTRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BRT-20-137697
MO
2355S0801X
Speech-Language Assistant
2018024704
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018024704
—
MO
Enumeration date
07/16/2018
Last updated
02/15/2021
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