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Individual
ELIYAHU BARUCH
Active
Individual
ELIYAHU BARUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-5420155
INBLOOM AUTISM SERVICES
CT
Enumeration date
12/17/2020
Last updated
12/17/2020
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