Individual
CARLA B VICUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
3221 95TH ST, EAST ELMHURST, NY 11369-2455
(347) 599-3142
Mailing address
3221 95TH ST, EAST ELMHURST, NY 11369-2455
(347) 599-3142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
005007-01
NY
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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