Most Relevant Information
Provider Data
| NPI Number: | 1003407552 |
| Provider Name: | KELLY M. CARRERO PH.D., BCBA, LBA-TX |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-14-16138 |
Most Important Dates
| Enumeration Date: | 01/28/2021 |
| Last Updated: | 01/28/2021 |
Provider Practice Location
4432 LONGFELLOW DR
PLANO
TX
750933217
Practice Location Phone/Fax
| Phone: | 2142643069 |
| Fax: |
Provider Mailing Location
4432 LONGFELLOW DR
PLANO
TX
750933217
Provider Mailing Phone/Fax
| Phone: | 2142643069 |
| Fax: |