Individual
CARLIE S ROBITAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4719 VIEWRIDGE AVE STE 100, SAN DIEGO, CA 92123-1685
(858) 217-5112
Mailing address
4719 VIEWRIDGE AVE STE 100, SAN DIEGO, CA 92123-1685
(858) 217-5112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1015
CA
103K00000X
Behavior Analyst
Primary
1-16-21826
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/31/2011
Last updated
10/02/2019
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