Individual
KALEY H CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1247 RUCKER BLVD STE 3, ENTERPRISE, AL 36330-3630
(334) 347-5003
Mailing address
202 N RIPLEY ST, SAMSON, AL 36477-2012
(334) 449-6107
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-48614
AL
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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