Individual
CARLY ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5663 MARDEN DR APT 107, DAVIS, CA 95618-7222
(310) 487-1423
Mailing address
5663 MARDEN DR APT 107, DAVIS, CA 95618-7222
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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