Individual
CARLI CARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
(800) 538-8365
Mailing address
712 RAVEN DR, VACAVILLE, CA 95687-7257
(707) 514-6420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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