Individual
TRACEY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LB BCBA
Contact information
Practice address
3331 HERITAGE TRADE DR STE 110, WAKE FOREST, NC 27587-4346
(910) 507-0749
(910) 518-5227
Mailing address
106 FRIENDLY LN, HAMPSTEAD, NC 28443-2663
(910) 507-0749
(910) 518-5227
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-22922
—
103K00000X
Behavior Analyst
Primary
114
NC
Other
Enumeration date
10/05/2016
Last updated
05/22/2025
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