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Individual
MISS INDIRA MAGAZ ZULUETA
Active
Individual
MISS INDIRA MAGAZ ZULUETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61812
—
106S00000X
Behavior Technician
RBT20110896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-61812
BACB
—
01
—
RBT-18-65215
BOARD CERTIFICATE NUMBER
—
Enumeration date
11/07/2018
Last updated
10/07/2022
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