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Individual
PHYLLIS BARELA
Active
Individual
PHYLLIS BARELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44739532
—
NM
Enumeration date
11/17/2014
Last updated
04/28/2021
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