Carl-Marvin Kenneth-Elijah Wright
Individual provider Active NPI Behavior Technician · National City, CA
NPI 1609600550 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1609600550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2423 Hoover Ave
National City, CA 91950-6619 - Phone
- (619) 739-4569
- Fax
- (877) 602-5087
- NPI assigned
- Aug 30, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Yes |
Addresses
Primary practice location
2423 Hoover Ave
National City, CA 91950-6619
Mailing address
5252 Orange Ave Unit 316
San Diego, CA 92115-6034
Phone (619) 922-1178
Other providers in National City, CA
- Windsor Care Center National City, Inc
- Winterhaven Emergency Physicians Medical Group Inc
- Allyson A Wolfe
- Megan Woods
- Gerald L. Workman
- Eva Yuting Wu
- Hai Wu
- PO-Chin John Wu
- Christine Irene Wyeth I
- Brenton D Wynn
All providers in National City, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.