Lyssa Carroll
Behavior Technician in Bakersfield, CA. Individual provider (NPI-1).
NPI number1871192559
StatusActive
Last updated in NPPESJun 22, 2023
Details
- NPI
- 1871192559
- Entity type
- Individual (NPI-1)
- Name
- Lyssa Carroll
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2020
- Certification date
- Jun 21, 2023
- Last updated
- Jun 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5080 California Ave Ste 250Bakersfield, CA 93309-0732
Phone 661-258-3240 · Fax 855-568-2494
Mailing address
5080 California Ave Ste 250Bakersfield, CA 93309-0732
Phone 661-258-3240 · Fax 855-568-2494
Other practice locations
2535 16th St Ste 215
Bakersfield, CA 93301-3417
Bakersfield, CA 93301-3417
Phone 805-979-9941
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All 1,733 Behavior Technician providers in Bakersfield · All 14,569 providers in Bakersfield
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