Keshawn Carter
Behavior Technician in Orange, CA. Individual provider (NPI-1).
NPI number1619706074
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1619706074
- Entity type
- Individual (NPI-1)
- Name
- Keshawn Carter
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2024
- Certification date
- Aug 1, 2024
- Last updated
- Aug 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
333 City Blvd W Fl 3Orange, CA 92868-2903
Phone 888-725-7087
Mailing address
333 City Blvd W Fl 3Orange, CA 92868-2903
Phone 888-725-7087
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