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Contact Information

CARL G CONKLIN, BCBA-D
4977 HOMESTEAD COUR
LAS CRUCES, NM88011
 Phone: 785-727-9270
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for CARL G CONKLIN · (Male)

NPI # 1013278308
Status Active
Credentials BCBA-D
Entity Individual
Enumeration date 06/03/2012
Last updated 06/03/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 1-03-1250
  • NM Other 88012 0000 TRIWEST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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