Individual
CARISSA YVONNE WHITTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34448 YUCAIPA BLVD STE A, YUCAIPA, CA 92399-2412
(909) 353-7547
Mailing address
1614 ORANGE AVE APT 309, REDLANDS, CA 92373-5377
(909) 557-5560
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/30/2024
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