Carroll, Fletcher
Carroll, Fletcher is an individual health care provider with primary practice located at 23 Rybar Ln , Palm Coast FL 32164-6445. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Carroll, Fletcher can be contacted via phone (386) 316-3004.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1780034017 |
|---|---|
| LBN Legal business name | Carroll, Fletcher |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2016 |
| Last updated | Nov 19th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780034017 | NPPES |
| Florida | MEDICAID | 018070500 | |
| Florida | MEDICAID | 003553600 |
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