Individual
CHARESE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6456 NW FRIENDLY CIR, PORT SAINT LUCIE, FL 34983-1303
(772) 621-0123
(772) 673-7860
Mailing address
6456 NW FRIENDLY CIR, PORT SAINT LUCIE, FL 34983-1303
(772) 621-0123
(772) 673-7860
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59264
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102065700
—
FL
Enumeration date
12/26/2018
Last updated
02/28/2023
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