Individual
CARLY ELBRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3008 E 16TH ST, AUSTIN, TX 78702-1606
(512) 705-9190
Mailing address
3008 E 16TH ST, AUSTIN, TX 78702-1606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-24-74619
BEHAVIOR ANALYST CERTIFICATION BOARD
TX
Enumeration date
09/16/2022
Last updated
09/10/2024
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