Most Relevant Information
Provider Data
| NPI Number: | 1003405473 |
| Provider Name: | CARA JEAN CARLO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/11/2021 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
3665 BUNKER AVE
WANTAGH
NY
117933401
Practice Location Phone/Fax
| Phone: | 5163136962 |
| Fax: |
Provider Mailing Location
3665 BUNKER AVE
WANTAGH
NY
117933401
Provider Mailing Phone/Fax
| Phone: | 5163136962 |
| Fax: |