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Individual
LEIDYS MARTIN
Active
Individual
LEIDYS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66648
FL
106S00000X
Behavior Technician
RBT-19-83103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-66648
BCBA
FL
01
—
RBT-19-83103
BACB
FL
Enumeration date
04/09/2019
Last updated
07/05/2023
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