Carroll, Mckenna
Carroll, Mckenna is an individual health care provider with primary practice located at 1827 Ne 44Th Ave Ste 390 , Portland OR 97213-1461. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Carroll, Mckenna can be contacted via phone (503) 963-6494.Contact Information
Primary practice address
1827 Ne 44Th Ave Ste 390
Portland OR 97213-1461
Phone: (503) 963-6494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 3097 | Texas |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ABA-B-10214970 | Oregon |
Profile Details
| NPI number | 1275010472 |
|---|---|
| LBN Legal business name | Carroll, Mckenna |
| Credentials | M.A., LBA, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2018 |
| Last updated | Mar 9th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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