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General NPI Number Information
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NPI Number | 1316870066
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Entity Type | Individual
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Provider Name | JUSTICE CARTER RBT
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Gender | Female
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 721 N VULCAN AVE STE 209
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City | ENCINITAS
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State | CA
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Zip | 92024-2191
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Country | US
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Telephone | 414-520-8141
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 CHARLES LN
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City | RAMONA
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State | CA
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Zip | 92065-3321
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Country | US
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Telephone | 414-520-8141
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-451253
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License Number State | CA
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