Joseph Carlson, M.A., B.C.B.A

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26091 Issued in MN

Practice address

10273 Yellow Circle Dr
Minnetonka, MN 55343-9144

Phone

(952) 401-9359

NPI assigned

Mar 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1629604616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 PARK AVE # 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10273 YELLOW CIRCLE DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439144",
            "telephone_number": "952-401-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.A., B.C.B.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "1-17-26091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caregivers Network of MPLS., Inc
• Caring Souls LLC
• Cassandra Elizabeth Carlone, M.D.
• Craig Carlson, LP
• Emily Carlson, PA-C
• Mackenzie Cathleen Carlson
• Mitchell R. Carlson, PT
• Taylor Nichole Ebnet Carlson, PT, ATC
• Charles Carodenuto, MD
• Bryn Elizabeth Carr, BA IN PSYCHOLOGY

• Behavior Analyst in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; 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.