Caroline Brannock, BCBA
Individual provider Active NPI Behavior Analyst · Huntington, WV
NPI 1003411596 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1003411596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-22-61579 (WV)
- Practice address
- 10 6TH Ave W
Huntington, WV 25701-0028 - Phone
- (304) 525-8014
- Fax
- (304) 525-8026
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COBA.01573 | OH | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Services Center | Past | Accepting new patients | |
| Autism Service Center | Past | Accepting new patients | |
| Autism Services Center, Inc. | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | COBA.01573 | OH | |
| Behavior Analyst | 103K00000X | 1-22-61579 | WV | Yes |
Addresses
Primary practice location
10 6TH Ave W
Huntington, WV 25701-0028
Mailing address
3209 Chase St
Huntington, WV 25704-2014
Phone (410) 603-7298
Other providers in Huntington, WV
- Christopher O. Branam
- Nathaniel Chase Branam
- Sarah Brand
- Natosha Dawn Brandon
- Julie Marie Branhan
- Sidney Claire Branscome
- Rebecca Ann Brashears
- Jeffery Bernard Breaux
- William Brechun
- Jessica Breedlove-McKinney
All providers in Huntington, WV · Behavior Analyst in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.