Conklin, Carl George
Conklin, Carl George is an sole proprietor health care provider with primary practice located at 6224 Cloud Dance Dr , Las Cruces NM 88012-9017. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Conklin, Carl George can be contacted via phone (785) 727-9270.Contact Information
Primary practice address
6224 Cloud Dance Dr
Las Cruces NM 88012-9017
Phone: (785) 727-9270
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-03-1250 |
Profile Details
| NPI number | 1013278308 |
|---|---|
| LBN Legal business name | Conklin, Carl George |
| Credentials | BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2012 |
| Last updated | Jun 3rd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013278308 | NPPES |
| New Mexico | Other | 88012 0000 | TRIWEST |
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