Carrie Andrade
Individual provider Active NPI Behavior Analyst · Basehor, KS
NPI 1124414230 · NPPES record last updated Apr 15, 2015
Key facts
- NPI
- 1124414230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1106 N 155TH St Ste B
Basehor, KS 66007-7100 - Phone
- (913) 662-7071
- Fax
- (913) 662-7072
- NPI assigned
- Apr 15, 2015
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1106 N 155TH St Ste B
Basehor, KS 66007-7100
Mailing address
1011 N Juliette Ave
Manhattan, KS 66502-5641
Other providers in Basehor, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2015. 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.