Individual provider Active NPI

Abbey Carreau, M.S, BCBA

  • Specialist
  • Baltimore, MD
National Provider Identifier
1194988808
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1-07-3428 Issued in MD
Practice address
1814 Gough St
Baltimore, MD 21231-2607
Phone
(774) 249-8334
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1-07-3428 MD Primary

Addresses

Primary practice location

1814 Gough St
Baltimore, MD 21231-2607

Mailing address

1814 Gough St
Baltimore, MD 21231-2607
Phone (774) 249-8334

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1194988808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 GOUGH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312607",
            "telephone_number": "774-249-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 GOUGH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312607",
            "telephone_number": "774-249-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREAU",
        "first_name": "ABBEY",
        "name_prefix": "Mrs.",
        "credential": "M.S, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "1-07-3428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.