Carrie Bass, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-25371 Issued in CO

Practice address

171 VZ County Road 4114
Canton, TX 75103-5651

Phone

(903) 570-4545

Fax

(888) 518-6656

NPI assigned

Dec 29, 2016

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shining Light ABA LLC

  • Behavior Analyst
  • Canton, TX
  • NPI 1235968751
  NPD Authorized official

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1730624776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 VZ COUNTY ROAD 4114",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751035651",
            "telephone_number": "903-570-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 VZ COUNTY ROAD 4114",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751035651",
            "telephone_number": "903-570-4545",
            "fax_number": "888-518-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "CARRIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-17-25371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrews Center/ Millcreek
• Another Chance Detox
• Faisal Ansari, MD
• Darcie A Baker, PA C
• Tiffany Bankston
• Joseph Clayton Bass, FNP
• Thomas Bauman
• Been Living Well
• Ben a Bratcher DDS and Glen a. Stern DDS PC, LLC (Legacy Dental Group)
• Ben D Curtis, DDS, PLLC (Curtis Kids Dentistry)

• Behavior Analyst in Canton, TX
• Providers in Canton, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.