Individual provider · Type 1 NPI
Brae W. Carroll
Developmental Therapist · Melbourne, FL
Practice location
1071 Carriage Hill Rd
Melbourne, FL 32940-6418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1801124664
Brae W. Carroll's National Provider Identifier is 1801124664, issued on Dec 5, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Melbourne, FL. The record was last updated on Dec 5, 2009.