Carnelian Learning Place, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CARNELIAN LEARNING PLACE, LLC

Practice address

17505 Telge Rd Ste 102-242
Cypress, TX 77429-6977

Phone

(818) 666-9434

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Lyre FribourgNPI 1609121201

Title

Owner

Phone

(323) 605-7947

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyre Caruz Fribourg, PH.D, BCBA-D

  • Clinical Psychologist
  • Studio City, CA
  • NPI 1609121201

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1124860051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 TELGE RD STE 102-242",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 TELGE RD STE 102-242",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296977",
            "telephone_number": "818-666-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNELIAN LEARNING PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "FRIBOURG",
        "authorized_official_first_name": "LYRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-605-7947"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Cypress, TX
• Providers in Cypress, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.