Individual provider Active NPI

Kara Sheree Carlson, M. ED., BCBA, LBA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1164906566
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0642 Issued in NV
Practice address
5725 S Valley View Blvd Ste 5
Las Vegas, NV 89118-3122
Phone
(949) 485-8049
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 LBA0642 NV Primary

Addresses

Primary practice location

5725 S Valley View Blvd Ste 5
Las Vegas, NV 89118-3122

Mailing address

5725 S Valley View Blvd Ste 5
Las Vegas, NV 89118-3122
Phone (408) 406-0415

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 Education

State licenses

LicenseStateTypeSpecialty
LBA0642NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Second Chances ABA Limited Behavior Analyst Current Accepting new patients
Tandem Therapy Services Past Accepting new patients
Tandem Therapy Services Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1164906566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 S VALLEY VIEW BLVD STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183122",
            "telephone_number": "408-406-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 S VALLEY VIEW BLVD STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183122",
            "telephone_number": "949-485-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KARA",
        "middle_name": "SHEREE",
        "credential": "M. ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.