Individual
BARI UTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
5162 ELPINE WAY, PALM BEACH GARDENS, FL 33418-7848
(609) 332-3454
Mailing address
5162 ELPINE WAY, PALM BEACH GARDENS, FL 33418-7848
(609) 332-3454
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
011-4386
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018706100
—
FL
Enumeration date
05/19/2012
Last updated
03/31/2022
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