Active NPI
Carley Waltenburg, M.S., BCBA
- Behavior Analyst
- Irving, TX
National Provider Identifier
1023493970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 7801 Mesquite Bend Dr Ste 105
Irving, TX 75063-6043 - Phone
- (972) 672-6717
- NPI assigned
- Jul 21, 2015
- Last updated
- Apr 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
7801 Mesquite Bend Dr Ste 105
Irving, TX 75063-6043
Mailing address
7801 Mesquite Bend Dr Ste 105
Irving, TX 75063-6043
Phone (972) 672-6717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brent Woodall Foundation for Exceptional Children | Behavior Analyst | Current | Accepting new patients |
| Brent Woodall Foundation for Exceptional Children | Behavior Analyst | Current | Accepting new patients |
Locations
7801 Mesquite Bend Dr
Ste 105
Irving, TX 75063
Phone (972) 672-6717
Organizations & group practices 2
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.
-
dba Brent Woodall Foundation
- Community/Behavioral Health Agency
- Irving, TX
- NPI 1386879526
Behavior Analyst
-
- Behavior Analyst
- Irving, TX
- NPI 1760831432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1023493970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7801 MESQUITE BEND DR STE 105",
"city": "IRVING",
"state": "TX",
"postal_code": "750636043",
"telephone_number": "972-672-6717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7801 MESQUITE BEND DR STE 105",
"city": "IRVING",
"state": "TX",
"postal_code": "750636043",
"telephone_number": "972-672-6717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTENBURG",
"first_name": "CARLEY",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.