Individual
BERNADETTE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27127 CALLE ARROYO, SUITE 1921, SAN JUAN CAPISTRANO, CA 92675-2765
(949) 661-6753
Mailing address
21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(818) 758-8015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-4073
CA
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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