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Individual
CARISSA CAREY
Active
Individual
CARISSA CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED., BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1165
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-48139
BACB
—
01
—
1165
CT LICENSE
CT
Enumeration date
11/10/2021
Last updated
11/10/2021
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