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Individual

MRS. MARIA M TEJADA

Active
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Individual

MRS. MARIA M TEJADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
222Q00000X
Developmental Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
EL222Q0000X
FL
Enumeration date
09/26/2017
Last updated
06/13/2022
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