Carrie A Shriner, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-10264 Issued in FL

Practice address

5302 S Florida Ave
Suite 202
Lakeland, FL 33813-4922

Phone

(863) 937-8067

Fax

(863) 607-6207

NPI assigned

Jul 28, 2015

Last updated

Jul 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trek Behavioral Services, LLC

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1831560762
  Authorized official Same address or phone
• Holladay Child Development Services,LLC

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1295067593
  NPD (past)

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1023493335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SHERWOOD LAKES BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338096805",
            "telephone_number": "863-370-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 S FLORIDA AVE",
            "address_2": "SUITE 202",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134922",
            "telephone_number": "863-937-8067",
            "fax_number": "863-607-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRINER",
        "first_name": "CARRIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-14-10264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramy Shoapah
• Franklin Edward Shoemaker, PH.D., LMHC
• Jeffrey Wayne Shooks, MD
• Shreekant Tripathi, M.D., P.a.
• Krisha Anil Shrimankar
• Madison Pristine Shriner
• Stanley H Shrom, M.D.
• Kathy J Shufflebarger, P.T.
• Caitlin Shultz
• Chad Michael Shultz, RBT

• Behavior Analyst in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.