Provider Demographics
NPI:1366107351
Name:CARPENTER-NAVARRO, LAURA E (MS, ABA CERTIFICATE)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:E
Last Name:CARPENTER-NAVARRO
Suffix:
Gender:F
Credentials:MS, ABA CERTIFICATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28255 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-1118
Mailing Address - Country:US
Mailing Address - Phone:818-635-9096
Mailing Address - Fax:
Practice Address - Street 1:28255 CANTERBURY CT
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91354-1118
Practice Address - Country:US
Practice Address - Phone:818-635-9096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician