Elizabeth Joy Carlson, BA
Individual provider Active NPI Behavior Technician · Liberty Lake, WA
NPI 1124837158 · NPPES record last updated Jan 3, 2025
Key facts
- NPI
- 1124837158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- CBT.CB.61649710 (WA)
- Practice address
- 206 N Knudson St
Liberty Lake, WA 99019-7568 - Phone
- (360) 688-6458
- NPI assigned
- Jan 3, 2025
- 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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBT.CB.61649710 | WA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CBT.CB.61649710 | WA | Yes |
Addresses
Primary practice location
206 N Knudson St
Liberty Lake, WA 99019-7568
Mailing address
2508 W Okanogan Ave
Post Falls, ID 83854-8572
Phone (360) 688-6458
Other providers in Liberty Lake, WA
- C Ross Simonds DDS PS
- Lawrence Richard Callaway
- Leisa Leanore Campana
- Sean Patrick Campbell
- Cathi Denee Cardon
- Jazmayne Carter
- Casey Family Dental DDS, PS
- Michael Francis Casey
- Timothy J Casey
- Christie Ann Ceballos
All providers in Liberty Lake, WA · Behavior Technician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2025. 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.