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Contact Information

MCKENNA CARROLL, M.A., LBA, BCBA
1827 NE 44TH AVE STE 390
PORTLAND, OR97213-1461
 Phone: 503-963-6494
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for MCKENNA CARROLL · (Female)

NPI # 1275010472
Status Active
Credentials M.A., LBA, BCBA
Entity Individual
Enumeration date 07/20/2018
Last updated 03/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OR License # ABA-B-10214970
  • TX License # 3097
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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