Provider Demographics
NPI:1548087380
Name:PITTS, KARIZMA MARTIERRA (RBT)
Entity type:Individual
Prefix:
First Name:KARIZMA
Middle Name:MARTIERRA
Last Name:PITTS
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 1:4140 OCEANSIDE BLVD
Mailing Address - Street 2:STE 159 PMB 2087
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056
Mailing Address - Country:US
Mailing Address - Phone:951-434-5691
Mailing Address - Fax:
Practice Address - Street 1:677 PORTER ST
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-1581
Practice Address - Country:US
Practice Address - Phone:619-752-1542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARBT-24-341068106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician