Carrie Carter

Individual provider Active NPI Behavior Analyst · Joplin, MO

NPI 1154697449 · NPPES record last updated Nov 12, 2018

Key facts

NPI
1154697449
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
2017028263 (MO)
Practice address
2808 S Picher Ave
Joplin, MO 64804-1645
Phone
(417) 347-7850
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2017028263MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Behavior Analyst 103K00000X 2017028263 MO Yes

Addresses

Primary practice location

2808 S Picher Ave
Joplin, MO 64804-1645

Mailing address

3230 Wisconsin Ave
Joplin, MO 64804-4029
Phone (417) 347-7850

Other names

  • Carrie Foster Former name

Other providers in Joplin, MO

All providers in Joplin, MO · Behavior Analyst in Missouri

Sources for this page

Verify at the official NPI Registry.