Ms Latricia Deshun Carroll, BCBA is a
Behavior Analyst based in Abilene, Texas. Ms Latricia Deshun Carroll is licensed to practice in Texas (license number 1-13-13139) and her current practice location is
3301 N 3rd St, Abilene, Texas. She can be reached at her office (for appointments etc.) via phone at
(855) 832-6727.
NPI number for Ms Latricia Deshun Carroll is 1417590670 and her current mailing address is 7108 S Kanner Hwy, Stuart, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417590670.
Healthcare Provider's Profile
| Full Name | Ms Latricia Deshun Carroll |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 3301 N 3rd St, Abilene, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417590670
- Provider Enumeration Date: 10/21/2019
- Last Update Date: 06/26/2023
Medical Identifiers
Medical identifiers for Ms Latricia Deshun Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417590670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 74760 (Texas) | Secondary |
| 103K00000X | Behavior Analyst | 1-13-13139 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Latricia Deshun Carroll is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Latricia Deshun Carroll, BCBA
7108 S Kanner Hwy,
Stuart, FL 34997-7462
Ph: (855) 832-6727 | Ms Latricia Deshun Carroll, BCBA
3301 N 3rd St,
Abilene, TX 79603-7054
Ph: (855) 832-6727 |
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