Carrie Erin Connelly, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1013 Issued in TN

Practice address

527 N Maple St
Murfreesboro, TN 37130-2833

Phone

(855) 324-0885

Fax

(317) 520-8200

NPI assigned

Jun 19, 2012

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Carrie Erin Connelly-Reali Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Act Life Transitions

  • Behavior Analyst
  • Indialantic, FL
  • NPI 1881113629
  NPD Authorized official
• Act Life Transitions, LLC.

  • Behavior Analyst
  • Indialantic, FL
  • NPI 1225556244
  NPD Authorized official

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1508129107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SHERWOOD AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373037",
            "telephone_number": "321-960-5882",
            "fax_number": "321-773-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N MAPLE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302833",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2965 Limpet Ct",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329031825",
            "country_code": "US",
            "telephone_number": "813-601-5563 x81360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Sherwood Ave",
            "address_purpose": "LOCATION",
            "city": "Satellite Beach",
            "state": "FL",
            "postal_code": "329373037",
            "country_code": "US",
            "telephone_number": "321-960-5882",
            "fax_number": "321-773-4487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "CARRIE",
        "middle_name": "ERIN",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-04-2044",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "CONNELLY-REALI",
            "middle_name": "ERIN",
            "prefix": "MS.",
            "credential": "M.S., BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Behavior Analyst in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.