Individual
MR. CARL BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
08/01/2013
Last updated
01/15/2025
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