Individual
DR. KELLY M. CARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA, LBA-TX
Contact information
Practice address
4432 LONGFELLOW DR, PLANO, TX 75093-3217
(214) 264-3069
Mailing address
4432 LONGFELLOW DR, PLANO, TX 75093-3217
(214) 264-3069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16138
TX
103K00000X
Behavior Analyst
1920
TX
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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