Caroline Walsh, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-68371 Issued in TX

Practice address

12746 Cimarron Path Ste 103C
San Antonio, TX 78249-3420

Phone

(210) 239-0040

NPI assigned

Sep 30, 2020

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

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.

• Mindscapes Behavioral Health

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1619472669
  NPD (past)

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1407463698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 ROLLING CRK",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061996",
            "telephone_number": "401-952-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12746 CIMARRON PATH STE 103C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493420",
            "telephone_number": "210-239-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "CAROLINE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-23-68371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Walls
• Karla A Walls
• Krachele Walls
• Luna Walls
• Charlee Walser
• Edward John Walsh, DDS
• Erika Walsh, MSN, FNP-C
• Lane Kevin Walsh, D.D.S.
• Mackenzie Anne Walsh, DO
• Nicolas Eugene Walsh, M.D.

• Behavior Analyst in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.