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Individual

DAWN CARLISLE WADSWORTH

Active
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Individual

DAWN CARLISLE WADSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BCBA,

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-30000
AZ
103K00000X
Behavior Analyst
1-18-30000
CA
103K00000X
Behavior Analyst
Primary
1-18-30000
CO
103K00000X
Behavior Analyst
BEH-000917
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-30000
BCBA CERTIFICATE
—
05
—
149301
—
AZ
05
—
9000159528
—
CO
Enumeration date
03/26/2018
Last updated
05/24/2024
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