Individual provider · Type 1 NPI

Carly Grace Sponseller, RBT

Other Technician · Austin, TX

NPI number 1225645047 Active

Practice location

3403B Garden Villa Ln
Austin, TX 78704-6915

Call (855) 832-6727 Map

Fax (772) 675-9100

Mailing address

8769 Sugar Gum Rd
Riverside, CA 92508-3065

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XRBT-20-134539 (TX)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1225645047

Carly Grace Sponseller, RBT's National Provider Identifier is 1225645047, issued on Sep 25, 2020. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Austin, TX. The record was last updated on Sep 25, 2020.