MEDICARE: BETH CARLING

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
1	106S00000X	Behavior Technician	RBT-16-12355	AZ
2	103K00000X	Behavior Analyst	BEH-000820	AZ

General Provider Information

NPI Number	:	1720126956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH CARLING

Provider Business Mailing Address
First Line	:	4530 E MUIRWOOD DR STE 103
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-7693
Country	:	US
Telephone Number	:	602-540-9047
Fax Number	:

Provider Business Practice Location Address
First Line	:	4530 E MUIRWOOD DR STE 103
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-7693
Country	:	US
Telephone Number	:	480-610-6981
Fax Number	:	480-898-7419

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	11/05/2021

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Directions to “ BETH CARLING ” Practice Location

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