Individual
CARRIE MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
640 TIMBER DRIVE EAST, GARNER, NC 27529
(984) 849-3666
Mailing address
640 TIMBER DRIVE EAST, GARNER, NC 27529
(984) 849-3666
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
249
NC
103K00000X
Behavior Analyst
5488
TX
103K00000X
Behavior Analyst
BA-396
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-41968
BCBA
—
01
—
249
LBA
NC
01
—
BA-396
LBA
HI
Enumeration date
01/16/2018
Last updated
08/14/2024
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