Provider Demographics
NPI:1194233197
Name:SOLANA, CARRIE ANNE (BCBA)
Entity type:Individual
Prefix:
First Name:CARRIE ANNE
Middle Name:
Last Name:SOLANA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 S PINELLAS AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-3637
Mailing Address - Country:US
Mailing Address - Phone:732-232-9294
Mailing Address - Fax:
Practice Address - Street 1:415 S PINELLAS AVE
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-3637
Practice Address - Country:US
Practice Address - Phone:732-232-9294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-12
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst