Mallory Nicole Carroll
NPI #1063006609 in Hermosa Beach, California
Provider Information
- NPI Number
- 1063006609
- Entity Type
- Individual
- Name
- Mallory Nicole Carroll
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 24, 2021
- Last Updated
- Feb 24, 2021
Practice Location
- Address
- 1601 PACIFIC COAST HWY STE 175
- City
- Hermosa Beach
- State
- California
- ZIP Code
- 90254-3270
- Phone
- (213) 320-7037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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