Individual
ALTA MARIE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6711 ARLINGTON AVENUE, RIVERSIDE, CA 92504
(951) 742-6380
Mailing address
39249 LEOPARD ST, PALM DESERT, CA 92211-1146
(909) 206-4492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
1104369313
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/21/2016
Last updated
07/16/2025
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