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Individual
MARISELA SALAS
Active
Individual
MARISELA SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000790
AZ
106S00000X
Behavior Technician
RBT-19-105477
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-50746
BCBA CERTIFICATE
—
Enumeration date
08/19/2020
Last updated
08/24/2021
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