Active NPI
Renee Diane Carson, M.A.
- Behavior Analyst
- San Tan Valley, AZ
National Provider Identifier
1386941524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001235
- Practice address
- 34556 N Appaloosa Way
San Tan Valley, AZ 85144-4431 - Phone
- (480) 793-2622
- NPI assigned
- Feb 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-10-7382 | IL | |
| Behavior Analyst | 103K00000X | C62572485734 | IL | |
| Behavior Analyst | 103K00000X | BEH-001235 | AZ | Primary |
Addresses
Primary practice location
34556 N Appaloosa Way
San Tan Valley, AZ 85144-4431
Mailing address
34556 N Appaloosa Way
San Tan Valley, AZ 85144-4431
Phone (480) 793-2622
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-001235 | AZ | MD | Behavioral Analyst |
| C62572485734 | IL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Beyond ABA LLC | Behavior Analyst | Current | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Lakeside, AZ
- NPI 1225983638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1386941524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34556 N APPALOOSA WAY",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851444431",
"telephone_number": "480-793-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34556 N APPALOOSA WAY",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851444431",
"telephone_number": "480-793-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "RENEE",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-24",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-10-7382",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "C62572485734",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.