Charese Carter

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59264 Issued in FL

Practice address

6456 NW Friendly Cir
Port Saint Lucie, FL 34983-1303

Phone

(772) 621-0123

Fax

(772) 673-7860

NPI assigned

Dec 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Treasure Coast ABA Services

  • Behavior Analyst
  • Palm City, FL
  • NPI 1194252163
  NPD (past)

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1205308665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6456 NW FRIENDLY CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831303",
            "telephone_number": "772-621-0123",
            "fax_number": "772-673-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6456 NW FRIENDLY CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831303",
            "telephone_number": "772-621-0123",
            "fax_number": "772-673-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHARESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-59264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102065700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Carr-King
• Carlos Carrasquillo
• Adam Carroll, PHARMD
• Kevin William Carroll
• Aileen Carter
• Jeanne Theresa Carter, PTA
• Lovena Carter
• Tierra Jasmine Carter, RD LDN
• Jennifer Lynn Caruso, M.A.,CCC-SLP
• Indira Casanola

• Behavior Analyst in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.