Provider Demographics
NPI:1831786391
Name:WINNER, CARRIE (BSL, BCBA)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:WINNER
Suffix:
Gender:F
Credentials:BSL, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 OLD WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1622
Mailing Address - Country:US
Mailing Address - Phone:412-573-0141
Mailing Address - Fax:412-573-0148
Practice Address - Street 1:4250 OLD WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1622
Practice Address - Country:US
Practice Address - Phone:412-573-0141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst