Individual
MS. CARROLL VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED SDA
Contact information
Practice address
116 W 32ND ST, 8TH FLOOR, NEW YORK, NY 10001-3212
(212) 564-2350
Mailing address
215 ADAMS ST APT 3A, BROOKLYN, NY 11201-2862
(917) 817-6097
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
628480951
NY
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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