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Contact Information

KIMBERLY CARVALLISON, LCSW
1309 S MARY AVE
SUNNYVALE, CA94087-3050
 Phone: 408-252-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
 

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY CARVALLISON · (Female)

NPI Number 1760526818
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/19/2007
Last updated 09/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 1-16-21732
  • CA License # 25721
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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