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Individual
GEORGINA M LOPEZ CANDELARIO
Active
Individual
GEORGINA M LOPEZ CANDELARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-07830
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103116900
—
FL
01
—
RBT-15-07830
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
05/31/2016
Last updated
08/13/2019
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