Active NPI
Cassandra Ann Carmona
- Behavior Analyst
- Easton, PA
National Provider Identifier
1851956866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12041698
- Practice address
- 1345 George St
Easton, PA 18040-1177 - Phone
- (630) 272-8232
- NPI assigned
- May 6, 2019
- Last updated
- Apr 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 12041698 | NJ | Primary |
| Behavior Technician | 106S00000X | NJ |
Addresses
Primary practice location
1345 George St
Easton, PA 18040-1177
Mailing address
1345 George St
Easton, PA 18040-1177
Phone (630) 272-8232
Other practice location 1
14 Church St Apt 1
Oxford, NJ 07863-3191
Phone (630) 272-8232
Other practice location 2
14 Church St Apt 1
Oxford, NJ 07863-3191
Phone (630) 272-8232
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 |
|---|---|---|---|
| 12041698 | NJ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1851956866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 GEORGE ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180401177",
"telephone_number": "630-272-8232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 GEORGE ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180401177",
"telephone_number": "630-272-8232"
}
],
"practiceLocations": [
{
"address_1": "14 Church St Apt 1",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "NJ",
"postal_code": "078633191",
"country_code": "US",
"telephone_number": "630-272-8232",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14 Church St Apt 1",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "NJ",
"postal_code": "078633191",
"country_code": "US",
"telephone_number": "630-272-8232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARMONA",
"first_name": "CASSANDRA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "12041698",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NJ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.