Individual
CHELSEA CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 SW SALMON ST FL 11, PORTLAND, OR 97204-2908
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33628
OR
Other
Enumeration date
01/10/2017
Last updated
11/13/2020
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