Individual
MRS. AMBER CARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
475 S JOHN RODES BLVD, MELBOURNE, FL 32904-1093
(321) 241-1170
(321) 241-1171
Mailing address
475 S JOHN RODES BLVD, MELBOURNE, FL 32904-1093
(321) 241-1170
(321) 241-1171
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-04-1531
BCBA
FL
Enumeration date
01/15/2008
Last updated
09/24/2018
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