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Individual
ROLANDO MEDINA
Active
Individual
ROLANDO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-127655
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-127655
BACB-BEHAVIOR ANALYST CERTIFICATION BOARD
FL
Enumeration date
02/03/2022
Last updated
02/03/2022
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