Provider Demographics
NPI:1306261565
Name:JAMES CARRION, TAKEMA
Entity type:Individual
Prefix:
First Name:TAKEMA
Middle Name:
Last Name:JAMES CARRION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6228 SPANISH OAK DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-5877
Mailing Address - Country:US
Mailing Address - Phone:407-577-4730
Mailing Address - Fax:
Practice Address - Street 1:6228 SPANISH OAK DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-5877
Practice Address - Country:US
Practice Address - Phone:407-577-4730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst