Individual provider Active NPI

George Carson IV, M.S., BCBA

  • Behavior Analyst
  • Farmers Branch, TX
National Provider Identifier
1467984005
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25582 Issued in TX
Practice address
2825 Valley View LN
Suite 100
Farmers Branch, TX 75234-4955
Phone
(214) 736-8376
NPI assigned
Apr 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 1-17-25582 TX Primary
Behavior Analyst 103K00000X 2130 NC

Addresses

Primary practice location

2825 Valley View LN
Suite 100
Farmers Branch, TX 75234-4955

Mailing address

2655 Villa Creek Dr Ste 140
Farmers Branch, TX 75234-7385
Phone (214) 736-8376

Other practice location 1

1114 Eastchester Dr
High Point, NC 27265-3114
Phone (336) 802-1007

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 Science

State licenses

LicenseStateTypeSpecialty
2130NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Rehabilitation and Sports Physical Therapy, PC Past Accepting new patients
Lolly Therapeutics, LLC Behavior Analyst PastSince Sep 1, 2024 Accepting new patients
Integrative Therapy Concepts PastSince Sep 1, 2024 Accepting new patients
Thrive Therapy LLC Behavior Analyst PastSince Oct 13, 2024 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1467984005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 VILLA CREEK DR STE 140",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347385",
            "telephone_number": "214-736-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 VALLEY VIEW LN",
            "address_2": "SUITE 100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752344955",
            "telephone_number": "214-736-8376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1114 Eastchester Dr",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272653114",
            "country_code": "US",
            "telephone_number": "336-802-1007",
            "fax_number": "336-888-3585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "GEORGE",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-02",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-17-25582",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "2130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.