Active NPI
Nicholas Sean Carter, MA, BCBA, LBA
- Behavior Analyst
- Flagstaff, AZ
National Provider Identifier
1285294769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001424
- Practice address
- 5200 E Cortland Blvd Ste A21
Flagstaff, AZ 86004-9394 - Phone
- (928) 275-1399
- Fax
- (928) 222-1339
- NPI assigned
- Jun 18, 2019
- Last updated
- Sep 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-001424 | AZ | Primary |
Addresses
Primary practice location
5200 E Cortland Blvd Ste A21
Flagstaff, AZ 86004-9394
Mailing address
3069 Ancient TRL
Flagstaff, AZ 86005-3504
Phone (970) 846-4675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-23-66575 | Other | BCBA CERTIFICATE |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-001424 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaibab Behavioral Services, PLLC | Behavior Analyst | Current | Accepting new patients |
| Hopebridge LLC | Behavior Analyst | Past | Accepting new patients |
Locations
2323 E Greenlaw Ln
Ste 12A
Flagstaff, AZ 86004
Phone (928) 275-1339
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Flagstaff, AZ
- NPI 1992295745
-
- Child & Adolescent Psychiatry Physician
- Flagstaff, AZ
- NPI 1417536715
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1285294769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3069 ANCIENT TRL",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860053504",
"telephone_number": "970-846-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 E CORTLAND BLVD STE A21",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860049394",
"telephone_number": "928-275-1399",
"fax_number": "928-222-1339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "NICHOLAS",
"middle_name": "SEAN",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-18",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-23-66575",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.