Most Relevant Information
Provider Data
| NPI Number: | 1003482175 |
| Provider Name: | CLARISSA CARTER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2021 |
| Last Updated: | 05/31/2021 |
Provider Practice Location
7485 PHELAN BLVD
BEAUMONT
TX
777065748
Practice Location Phone/Fax
| Phone: | 4098429898 |
| Fax: |
Provider Mailing Location
7485 PHELAN BLVD
BEAUMONT
TX
777065748
Provider Mailing Phone/Fax
| Phone: | 4098429898 |
| Fax: |