Michelle Carlson

NPI #1780238352 in Colwich, Kansas

Provider Information

NPI Number: 1780238352
Entity Type: Individual
Name: Michelle Carlson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 31, 2019
Last Updated: Jul 31, 2019

Practice Location

Address: 709 BROOKSIDE PL
City: Colwich
State: Kansas
ZIP Code: 67030-9683
Phone: (785) 534-9808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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