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Individual
AVIETA SANTANA TABARES
Active
Individual
AVIETA SANTANA TABARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BCABA-0-26-2827250
FL
106S00000X
Behavior Technician
Primary
RBT-23-284203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118930200
—
FL
Enumeration date
07/21/2023
Last updated
07/22/2026
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