Individual provider Active NPI

Carly Cohen

  • Behavior Analyst
  • Lauderdale Lakes, FL
National Provider Identifier
1356070429
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3884-MH-B1 Issued in MA
Practice address
4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Phone
(561) 323-6593
NPI assigned
Jun 6, 2022
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 3884-MH-B1 MA Primary

Addresses

Primary practice location

4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867

Mailing address

542 Amherst St Ste B
Nashua, NH 03063-1016
Phone (561) 323-6593

Other practice location 1

6 Strathmore Rd
Natick, MA 01760-2419
Phone (508) 650-5940

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

State licenses

LicenseStateTypeSpecialty
3884-MH-B1MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Centers of America LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1356070429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 AMHERST ST STE B",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631016",
            "telephone_number": "561-323-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N STATE ROAD 7 STE 300",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195867",
            "telephone_number": "561-323-6593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Strathmore Rd",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017602419",
            "country_code": "US",
            "telephone_number": "508-650-5940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "3884-MH-B1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.