Active NPI
Maria R Carpenter, BCBA
- Behavior Analyst
- Wilmington, NC
National Provider Identifier
1578295259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1642
- Practice address
- 3317 Masonboro Loop Rd Unit 150
Wilmington, NC 28409-2970 - Phone
- (910) 619-1200
- NPI assigned
- Jun 30, 2022
- Last updated
- May 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1642 | NC | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
3317 Masonboro Loop Rd Unit 150
Wilmington, NC 28409-2970
Mailing address
3317 Masonboro Loop Rd Unit 150
Wilmington, NC 28409-2970
Phone (910) 619-1200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1642 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715472000000",
"number": "1578295259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 MASONBORO LOOP RD UNIT 150",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284092970",
"telephone_number": "910-619-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 MASONBORO LOOP RD UNIT 150",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284092970",
"telephone_number": "910-619-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "MARIA",
"middle_name": "R",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2024-05-12",
"certification_date": "2024-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1642",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.