Individual
KRISTIN LEIGH CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 WYOMING AUTUMN RD NE, RIO RANCHO, NM 87124-6335
(505) 205-5675
(505) 205-5675
Mailing address
105 WYOMING AUTUMN RD NE, RIO RANCHO, NM 87124-6335
(505) 205-5675
(505) 205-5675
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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