Dr. Carl George Conklin
Behavior Analyst
6224 Cloud Dance Dr
Las Cruces
, New Mexico 88012-9017
Dr. Carl George Conklin
Behavior Analyst
6224 Cloud Dance Dr
Las Cruces
, New Mexico 88012-9017
(785) 727-9270
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Dr. Carl George Conklin
- 6224 Cloud Dance Dr
- Las Cruces, NM
- Zip : 88012-9017
- Phone : (785) 727-9270
Second Address
- Dr. Carl George Conklin
- 6224 Cloud Dance Dr
- Las Cruces, NM
- Zip : 88012-9017
- Phone : (785) 727-9270
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | 1-03-1250 |
National Provider Identifier
| NPI | 1013278308 |
|---|---|
| Provider Name | Dr. Carl George Conklin |
| First Address | Las Cruces, NM 88012-9017 |
| Second Address | Las Cruces, NM 88012-9017 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2012 |
| Last Update Date | 03/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 88012 0000 | TRIWEST (01) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.