Individual
MISS CAROLINA CHRISTINE PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1887 RICHMOND AVE STE 5, STATEN ISLAND, NY 10314-3923
(718) 698-1300
Mailing address
10910 CAMERON CT APT 101, DAVIE, FL 33324-4165
(786) 405-6059
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42022
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-4295619
1417364787
NY
Enumeration date
12/29/2017
Last updated
01/02/2021
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