Carmen M Drier, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-36958 Issued in NC

Practice address

39420 Liberty St Ste 150
Fremont, CA 94538-2284

Phone

(510) 794-5155

NPI assigned

Aug 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carmen M Wixson Former name

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.

• Center for Speech, Language and Occupational Therapy a Prof Corp

  • Speech-Language Pathologist
  • Fremont, CA
  • NPI 1629120068
  NPD (past)

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1528583903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHWOODS DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767986",
            "telephone_number": "910-973-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39420 LIBERTY ST STE 150",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382284",
            "telephone_number": "510-794-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 E Cary St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232237024",
            "country_code": "US",
            "telephone_number": "804-215-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Onville Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225563805",
            "country_code": "US",
            "telephone_number": "540-645-4777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Northwoods Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283767986",
            "country_code": "US",
            "telephone_number": "910-973-0690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRIER",
        "first_name": "CARMEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-19-36958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD, BACB",
            "identifier": "1-19-36958",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "WIXSON",
            "middle_name": "M",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr. Ritu K. Singh
• Dr. Robert C. Chisholm, DDS
• Cecelia Monique Drane-Zuniga
• Jodi Kristine Draper
• Gail Dressler, MD
• Yingzhen Duan
• Lizeth Duarte
• Sophia Duarte
• Archana Dubey, MD
• Hal Dubiel

• Behavior Analyst in Fremont, CA
• Providers in Fremont, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.