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Individual
PRISCILLA MARIE SAN VICENTE
Active
Individual
PRISCILLA MARIE SAN VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37505
CA
106S00000X
Behavior Technician
16-24161
CA
247200000X
Other Technician
9434
CA
Other
Enumeration date
03/03/2018
Last updated
01/24/2022
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