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NPI Code Detail

MEDICARE: ISABELLA CARR

MEDICARE: ISABELLA CARR
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 Technician

General Provider Information

NPI Number : 1083452692
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA CARR
Provider Business Mailing Address
First Line : 9175 LARIAT CT
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-4113
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2845 MARCONI AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-5264
Country : US
Telephone Number : 916-749-4646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2024
Last Update Date : 07/17/2024

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Directions to “ ISABELLA CARR ” Practice Location

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