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Individual

MS. CARMEN M DRIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
39420 LIBERTY ST STE 150, FREMONT, CA 94538-2284
(510) 794-5155
Mailing address
200 NORTHWOODS DR, RAEFORD, NC 28376-7986
(910) 973-0690

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36958
NC
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-19-36958
BEHAVIOR ANALYST CERTIFICATION BOARD, BACB
NC
Enumeration date
08/07/2017
Last updated
02/28/2023
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