Individual provider · NPI-1

Marisa Carroll

Behavior Analyst · Tempe, AZ

NPI number1609615418
StatusActive
Last updated in NPPESMay 21, 2024

Details

NPI
1609615418
Entity type
Individual (NPI-1)
Name
Marisa Carroll
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2024
Certification date
May 21, 2024
Last updated
May 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

975 E Warner Rd
Tempe, AZ 85284-3232

Phone 602-340-8717 · Fax 602-340-8720

Mailing address

300 N 18th St
Phoenix, AZ 85006-4103

Phone 602-340-8717 · Fax 602-340-8720

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