Tabitha K Carroll

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2023027231 Issued in MO

Practice address

520 NE Colbern Rd Ste 200
Lees Summit, MO 64086-4711

Phone

(816) 643-4959

NPI assigned

Jun 16, 2019

Reactivated

Aug 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Positive Intervention Plus, LLC

  • Behavior Technician
  • Kansas City, MO
  • NPI 1508300583
  NPD (past)

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

{
    "created_epoch": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1760042444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 NE COLBERN RD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864711",
            "telephone_number": "816-643-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NE COLBERN RD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864711",
            "telephone_number": "816-643-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "TABITHA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "deactivation_date": "2023-07-07",
        "reactivation_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2023027231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carondelet Cardiology Services
• Meagan Aa Carow Freund, M.A., PLPC, NCC
• Tracy L Carpenter, MA, LPC
• Christine L Carr
• Emma Carr, OTR
• Alan Carson
• Kaitlin Grace Carter, FNP
• Brent A Caruthers, HIS
• Joseph Casella, MD
• Amanda Casey, IBCLC

• Behavior Analyst in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.