Individual
CONNOR K CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5001 CASE AVE, PLEASANTON, CA 94566-1171
(925) 426-4390
Mailing address
5758 W LAS POSITAS BLVD, PLEASANTON, CA 94588-4083
(925) 462-5500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
Primary
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
02/10/2023
Last updated
08/06/2025
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