Individual provider Active NPI

Carley Waltenburg, M.S., BCBA

  • Behavior Analyst
  • Irving, TX
National Provider Identifier
1023493970
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Brent Woodall Foundation for Exceptional Children Behavior Analyst CurrentSince Apr 9, 2024 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.

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.

Verify at the official NPI Registry.