Most Relevant Information
Provider Data
| NPI Number: | 1003318163 |
| Provider Name: | RACHEL CARPENTER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/05/2018 |
| Last Updated: | 03/06/2018 |
Provider Practice Location
3110 CAMINO DEL RIO S
SAN DIEGO
CA
921083812
Practice Location Phone/Fax
| Phone: | 6197959925 |
| Fax: |
Provider Mailing Location
3110 CAMINO DEL RIO S STE 307
SAN DIEGO
CA
921083832
Provider Mailing Phone/Fax
| Phone: | 6197959925 |
| Fax: |