Individual
CHRISTIANA CARBULLIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 BROWNING RD STE 195, COLUMBIA, SC 29210-6941
(803) 999-3752
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-443367
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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