Carrie Ann Brooks Bonde, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-9325 Issued in MN

Practice address

9120 Springbrook Dr NW
Coon Rapids, MN 55433-5845

Phone

(612) 331-9413

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1235400425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 EDGEMONT BLVD N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554282654",
            "telephone_number": "612-860-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 SPRINGBROOK DR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335845",
            "telephone_number": "612-331-9413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6135 Chasewood Pkwy",
            "address_2": "Apt. 316",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553437110",
            "country_code": "US",
            "telephone_number": "612-860-7006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONDE",
        "first_name": "CARRIE",
        "middle_name": "ANN BROOKS",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "1-11-9325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Boike, LPCC
• Andrew Boldt, D.P.T.
• Krystal Bollinger
• Katherine M.C. Bolterman, D.D.S.
• Justin Bonasera
• Theresa Louise Boogaard, NP
• Amanda Boothby, DPT
• Calvin Boots, OD
• John Chester Bordwell, MD
• Kristi Sue Borowski, MD

• Behavior Analyst in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.