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Individual
MS. ELLAKAYE WISDOM
Active
Individual
MS. ELLAKAYE WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABA
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
017422400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017422400
—
FL
Enumeration date
05/11/2017
Last updated
05/11/2017
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