Individual
MS. LATRICIA DESHUN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3301 N 3RD ST, ABILENE, TX 79603-7054
(855) 832-6727
(772) 675-9100
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
74760
TX
103K00000X
Behavior Analyst
Primary
1-13-13139
TX
Other
Enumeration date
10/21/2019
Last updated
06/26/2023
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