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NPI Code Detail

MEDICARE: JANICE CARRARA MSED, MS ABA/AUTISM

MEDICARE:   JANICE  CARRARA  MSED, MS ABA/AUTISM
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
2103K00000XBehavior AnalystNC

General Provider Information

NPI Number : 1609015551
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE CARRARA MSED, MS ABA/AUTISM
Provider Business Mailing Address
First Line : 140 AUTRY AVE
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-9153
Country : US
Telephone Number : 631-481-6366
Fax Number :
Provider Business Practice Location Address
First Line : 500 FAIRWAY DR STE 102
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1817
Country : US
Telephone Number : 888-880-9270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2009
Last Update Date : 01/09/2024

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Directions to “ JANICE CARRARA MSED, MS ABA/AUTISM” Practice Location

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