Kenneth Dean Carroll
Kenneth Dean Carroll is a Behavior Technician in Fresno, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
6770 N West Ave Ste 105Fresno, CA 93711-1399
Phone: (818) 241-6780
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1023613049 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 30, 2020 |
| Last updated in NPPES | November 30, 2020 |
| Certification date | November 30, 2020 |
| Mailing address | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 |
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