Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | NJ |
NPI | 1003418898 |
---|---|
Provider Name | Allison C Carr |
First Address | Voorhees, NJ 08043-2070 |
Second Address | Voorhees, NJ 08043-2070 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2020 |
Last Update Date | 16/11/2020 |