Individual
DESTINY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7413 N CEDAR AVE STE 103, FRESNO, CA 93720-3833
(559) 930-2720
(559) 777-6933
Mailing address
PO BOX 25042, FRESNO, CA 93729-5042
(559) 930-2720
(559) 777-6933
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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