Individual
CLARISVEL CARRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6675
(817) 442-0222
Mailing address
2425 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6675
(817) 442-0222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/26/2016
Last updated
07/21/2022
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