Active NPI
Karson Quarles
- Behavior Technician
- Muncie, IN
National Provider Identifier
1619484243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 17-42627
- Practice address
- 4008 N Rosewood Ave
Muncie, IN 47304-1775 - Phone
- (765) 587-4895
- Fax
- (765) 452-5207
- NPI assigned
- Jan 4, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 17-42627 | IN | Primary |
Addresses
Primary practice location
4008 N Rosewood Ave
Muncie, IN 47304-1775
Mailing address
4008 N Rosewood Ave
Muncie, IN 47304-1775
Phone (765) 587-4895
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 |
|---|---|---|---|
| 17-42627 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1619484243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 N ROSEWOOD AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473041775",
"telephone_number": "765-587-4895",
"fax_number": "765-452-5207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 N ROSEWOOD AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473041775",
"telephone_number": "765-587-4895",
"fax_number": "765-452-5207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUARLES",
"first_name": "KARSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "17-42627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.