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NPI Code Detail

MEDICARE: HARLEE T CARLSON

MEDICARE:   HARLEE T CARLSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianY6429867CA

General Provider Information

NPI Number : 1386595775
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARLEE T CARLSON
Provider Business Mailing Address
First Line : 5945 KENNETH AVE APT 38
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-4844
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5945 KENNETH AVE APT 38
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-4844
Country : US
Telephone Number : 775-443-9343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ HARLEE T CARLSON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.