Blake Carroll

NPI #1225836497 in Haysville, Kansas

Provider Information

NPI Number
1225836497
Entity Type
Individual
Name
Blake Carroll
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Mar 4, 2025
Last Updated
Mar 4, 2025

Practice Location

Address
5114 W 87TH ST S
State
Kansas
ZIP Code
67060-7335
Phone
(970) 310-6540

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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