Provider Demographics
NPI:1790134435
Name:CARLTON, ROBYN (RBT)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:
Last Name:CARLTON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 S SUNSET AVE APT 1203
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88203-2564
Mailing Address - Country:US
Mailing Address - Phone:864-492-2502
Mailing Address - Fax:
Practice Address - Street 1:1901 S SUNSET AVE APT 1203
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88203-2564
Practice Address - Country:US
Practice Address - Phone:864-492-2502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician