Individual
ALEXANDER AUSTIN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 E 17TH ST STE 150, SANTA ANA, CA 92705-6852
(714) 547-5375
Mailing address
1950 E 17TH ST STE 150, SANTA ANA, CA 92705-6852
(714) 547-5375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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