Individual
CARISSA NICOLE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2125 HEIGHTS DR STE 3H, EAU CLAIRE, WI 54701-6146
(715) 515-0790
(715) 318-0170
Mailing address
2125 HEIGHTS DR STE 3H, EAU CLAIRE, WI 54701-6146
(715) 515-0790
(715) 318-0170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
05/08/2026
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