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Carly Faulk

Behavior Technician in Youngsville, LA. Individual provider (NPI-1).

NPI number1124697404
StatusActive
Last updated in NPPESJun 22, 2021

Details

NPI
1124697404
Entity type
Individual (NPI-1)
Name
Carly Faulk
Sex
Female
Sole proprietor
No
Enumeration date
Jun 22, 2021
Certification date
Jun 22, 2021
Last updated
Jun 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician011734348LAYes

Practice location

209 Centre Sarcelle Blvd Ste 201
Youngsville, LA 70592-6755

Phone 337-857-3674

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

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