Individual
CARRIE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
94-849 LUMIAINA ST UNIT 201, WAIPAHU, HI 96797-5677
(800) 515-5016
Mailing address
3731 6TH AVE STE 100, SAN DIEGO, CA 92103-4383
(800) 515-5016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15072
—
103K00000X
Behavior Analyst
BCABA: 0-13-5507
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14-15072
BACB
—
Enumeration date
08/01/2013
Last updated
03/19/2021
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