Active NPI
Emily Carlson, BCBA
- Behavior Analyst
- Crofton, MD
National Provider Identifier
1659897262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1651 Crofton Blvd
Crofton, MD 21114-1314 - Phone
- (443) 302-2420
- NPI assigned
- Aug 15, 2017
- 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 Technician | 106S00000X | RBT-17-36493 | MD | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1651 Crofton Blvd
Crofton, MD 21114-1314
Mailing address
1651 Crofton Blvd
Crofton, MD 21114-1314
Phone (443) 302-2420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659897262 | Other | NPI |
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 |
|---|---|---|---|
| RBT-17-36493 | MD | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acorn Health, LLC. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Behavior Analyst
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- NPI 1801494679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1659897262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 CROFTON BLVD",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141314",
"telephone_number": "443-302-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 CROFTON BLVD",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141314",
"telephone_number": "443-302-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "EMILY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2021-06-03",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": "RBT-17-36493",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1659897262",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.