Active NPI
Carlyn Janae Irish
- Behavior Technician
- Gilbert, AZ
National Provider Identifier
1861248106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1017289
- Practice address
- 3869 E Cassia LN
Gilbert, AZ 85298-0488 - Phone
- (480) 335-8183
- NPI assigned
- Apr 26, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB1017289 | AZ | Primary |
Addresses
Primary practice location
3869 E Cassia LN
Gilbert, AZ 85298-0488
Mailing address
3869 E Cassia LN
Gilbert, AZ 85298-0488
Phone (480) 335-8183
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 |
|---|---|---|---|
| BACB1017289 | AZ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1861248106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3869 E CASSIA LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852980488",
"telephone_number": "480-335-8183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3869 E CASSIA LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852980488",
"telephone_number": "480-335-8183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRISH",
"first_name": "CARLYN",
"middle_name": "JANAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-26",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "BACB1017289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
- Intuitive Healing Counseling Services, PLLC
- Ozziel Inzunza, RBT
- Evan Rosemary Ippolito
- Maaz Iqbal, MD
- Iris Sadowsky DO Ms PLLC
- Iron Courts LLC
- Kelsey Ironside, CPNP-PC
- Ironwood Counseling and Psychological Services
- Ironwood Dental Care- Cooley LLC (Ironwood Dental Care- Cooley)
- Ironwood Physicians, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.