Taylor Carroll

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2024040884 Issued in MO

Practice address

1721 W Elfindale St
Springfield, MO 65807-1295

Phone

(417) 874-1906

NPI assigned

Oct 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1013736859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 S NETTLETON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075970",
            "telephone_number": "417-874-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W ELFINDALE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071295",
            "telephone_number": "417-874-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2024040884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanna Lynn Carr, PA-C
• Eric Carranza, DDS
• Brenda A Carrell, O.D.
• Carrie Thomas, LLC
• Marc D Carrigan, MD
• Clint Carroz, ATC, MED
• Jody Nicklas Carson, DO
• Tina M Carson, OTR L MOT
• Rebekah Dawn Carsten, RDH
• Cassidy Lane Cartee

• Behavior Analyst in Springfield, MO
• Providers in Springfield, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.