Carson Grace Grimes
Individual provider Active NPI Behavior Technician · Rockwall, TX
NPI 1003633207 · NPPES record last updated Sep 20, 2024
Key facts
- NPI
- 1003633207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1556 E FM 552
Rockwall, TX 75087-6491 - Phone
- (214) 984-0757
- NPI assigned
- Sep 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1556 E FM 552
Rockwall, TX 75087-6491
Mailing address
5706 Rowlett Rd
Rowlett, TX 75089-3463
Phone (855) 782-7822
Other providers in Rockwall, TX
- Kristen Greer
- Autumn Gregory
- Kimberly Ann Gregory
- Erin Rae Gremminger
- Trisha Ann Gremminger
- Kaylie Grimes
- Leonello Patrick Grisanti II
- Bruno Gross
- Jessica Groth
- Leonard Q Gruppo Jr.
All providers in Rockwall, TX · Behavior Technician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2024. 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.