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David Carter, BA

Behavior Technician in Santa Rosa, CA. Individual provider (NPI-1).

NPI number1508002452
StatusActive
Last updated in NPPESApr 3, 2019

Details

NPI
1508002452
Entity type
Individual (NPI-1)
Name
David Carter
Credential
BA
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 24, 2008
Last updated
Apr 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
171M00000X Case Manager/Care Coordinatord4084090CA
171M00000X Case Manager/Care Coordinator––

Practice location

1335 N Dutton Ave
Santa Rosa, CA 95401-4609

Phone 707-888-2927

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Phone 949-833-2237

Other practice locations

720 Wood St
Eureka, CA 95501-4413

Phone 707-268-2990

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