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Individual

YINET MONTES DE OCA SUAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
115 S 2ND ST, DENVER, PA 17517-1145
(717) 808-5985
Mailing address
34 MAIN ST, DENVER, PA 17517-1610
(717) 808-5985

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-24-349282
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-24-349282
BACB
PA
Enumeration date
06/03/2024
Last updated
06/03/2024
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