Individual
MRS. CAROLYN NORTHUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
730 SW 4TH ST STE 6, CAPE CORAL, FL 33991-1984
(239) 910-0712
Mailing address
730 SW 4TH ST STE 6, CAPE CORAL, FL 33991-1984
(239) 910-0712
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
08/26/2022
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