Kelly M. Carrero, PH.D., BCBA, LBA-TX

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-16138 Issued in TX

Practice address

4432 Longfellow Dr
Plano, TX 75093-3217

Phone

(214) 264-3069

NPI assigned

Jan 28, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1003407552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 LONGFELLOW DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933217",
            "telephone_number": "214-264-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 LONGFELLOW DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933217",
            "telephone_number": "214-264-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERO",
        "first_name": "KELLY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA, LBA-TX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-14-16138",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Passwordprotectedcomputer",
            "affiliation": "N",
            "address_1": "4432 Longfellow Dr",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750933217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeremy S Carrasco, MD
• Kathrina Carrasco, DDS
• Michael John Carrasco, M.D.
• Alejandro Carrasquilla, MD
• Darren A. Carrell, D.D.S.
• Bernadette Carrigo, FNP
• Maria-Paula Carrillo, MS, RDN, LD
• Rena Nicole Carrillo
• Susan Renee Carrington, PNP
• Robert C Carris, DDS

• Behavior Analyst in Plano, TX
• Providers in Plano, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.