Individual
CARROLIN BLISS WIGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N WATTERS RD STE 120, ALLEN, TX 75013-5346
(855) 782-7822
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7605
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/13/2019
Last updated
12/06/2024
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