Individual
CAROLINA CASSIMIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2928 JEFFERSON ST STE 100, CARLSBAD, CA 92008-2374
(855) 223-7123
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(619) 977-7201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6432
LA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/28/2015
Last updated
01/08/2021
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