Individual provider · NPI-1

Jenna Carruth, MS Ed.; BCBA

Behavior Analyst · Rockwall, TX

NPI number1386114452
StatusActive
Last updated in NPPESNov 30, 2018

Details

NPI
1386114452
Entity type
Individual (NPI-1)
Name
Jenna Carruth
Credential
MS Ed.; BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Nov 30, 2018
Last updated
Nov 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-13-13783TXYes

Practice location

5133 S Fm 549
Rockwall, TX 75032-9178

Phone 469-548-9021

Mailing address

2812 Spencer Cir
Royse City, TX 75189-5437

Phone 214-356-3324

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