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Individual
ELIZABETH JANICK
Active
Individual
ELIZABETH JANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
LABA2763
MA
103K00000X
Behavior Analyst
Primary
LBA00154
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-32291
BCBA
—
01
—
LABA2763
LABA
MA
01
—
LBA00154
LBA
RI
Enumeration date
10/15/2018
Last updated
07/24/2024
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