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Individual
JACK R. CARTER
Active
Individual
JACK R. CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. IN EDUCATION
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53420
CA
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/27/2018
Last updated
04/10/2025
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