Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1053988329 |
---|---|
Provider Name | Rachel C Carr |
First Address | Daleville, VA 24083-3054 |
Second Address | Roanoke, VA 24018-6515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2021 |
Last Update Date | 22/11/2021 |