Stephany Carlson

NPI #1205471968 in Chaparral, New Mexico

Provider Information

NPI Number: 1205471968
Entity Type: Individual
Name: Stephany Carlson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 16, 2019
Last Updated: Nov 16, 2019

Practice Location

Address: 836 MESILLA DR
City: Chaparral
State: New Mexico
ZIP Code: 88081-7619
Phone: (575) 618-0375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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