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Individual
SUSANA M VALDESPINO
Active
Individual
SUSANA M VALDESPINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-09645
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-09645
BEHAVIOR ANALYST CETIFICATION BOARD
—
Enumeration date
01/13/2017
Last updated
03/30/2018
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