Carter, Clarissa
Carter, Clarissa is an sole proprietor health care provider with primary practice located at 7485 Phelan Blvd , Beaumont TX 77706-5748. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Carter, Clarissa can be contacted via phone (409) 842-9898.Contact Information
Primary practice address
7485 Phelan Blvd
Beaumont TX 77706-5748
Phone: (409) 842-9898
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1003482175 |
|---|---|
| LBN Legal business name | Carter, Clarissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2021 |
| Last updated | May 31st, 2021 - about 5 years ago |
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 | 1003482175 | NPPES |
| Texas | Other | RBT-21-167441 | BEHAVIOR TECHNICIAN |
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