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Individual
MICHELLE ANGELEE VALLE
Active
Individual
MICHELLE ANGELEE VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
MD
103K00000X
Behavior Analyst
15118
PA
106S00000X
Behavior Technician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30940728
DRIVER LICENSE
PA
Enumeration date
04/29/2021
Last updated
05/04/2021
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