Provider Demographics
NPI:1649821331
Name:CAROLYN BARAHONA PHD LLC
Entity type:Organization
Organization Name:CAROLYN BARAHONA PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAHONA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D INACTIVE
Authorized Official - Phone:225-772-7878
Mailing Address - Street 1:4422 S LIBERTY ST APT 2
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-5971
Mailing Address - Country:US
Mailing Address - Phone:225-772-7878
Mailing Address - Fax:
Practice Address - Street 1:7039 CANAL BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-3454
Practice Address - Country:US
Practice Address - Phone:504-833-6730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-24
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty