Provider Demographics
NPI:1871278028
Name:BIONDI, CARRIE
Entity type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:
Last Name:BIONDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 FOLSOM RANCH DR APT 204
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-5129
Mailing Address - Country:US
Mailing Address - Phone:916-220-8308
Mailing Address - Fax:
Practice Address - Street 1:1025 FOLSOM RANCH DR APT 204
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-5129
Practice Address - Country:US
Practice Address - Phone:916-220-8308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst