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Individual
STEPHANIE DYKES
Active
Individual
STEPHANIE DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1733149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020808500
—
FL
01
—
1733149
RBT
FL
Enumeration date
05/02/2017
Last updated
10/25/2022
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