NPI 1134627383

Kaci Carroll

Practitioner Behavior Analyst Lanham, MD

Practice location

Address: 4487 Forbes Blvd # 4485, Lanham, MD 20706-4354
Phone: (301) 429-2900

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-19-40382 (NJ)

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-16-25979 (NJ)

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Registry record

NPI: 1134627383
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2018
Record last updated: 9 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.