Provider Demographics
NPI:1982251278
Name:FRANCISCO, CARLY D (BCBA)
Entity type:Individual
Prefix:MISS
First Name:CARLY
Middle Name:D
Last Name:FRANCISCO
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 1:230 BRAEN AVE
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-2948
Mailing Address - Country:US
Mailing Address - Phone:973-432-2254
Mailing Address - Fax:
Practice Address - Street 1:230 BRAEN AVE
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-2948
Practice Address - Country:US
Practice Address - Phone:973-432-2254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst