Kathleen Elizabeth Carrara, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30827 Issued in NJ

Practice address

3203 Sun Valley Way
Florham Park, NJ 07932-3066

Phone

(201) 919-4518

NPI assigned

Oct 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kathleen Llano Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1881179125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 SUN VALLEY WAY",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079323066",
            "telephone_number": "201-919-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 SUN VALLEY WAY",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079323066",
            "telephone_number": "201-919-4518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Valley Way",
            "address_purpose": "LOCATION",
            "city": "Mendham",
            "state": "NJ",
            "postal_code": "079451701",
            "country_code": "US",
            "telephone_number": "201-919-4518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRARA",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-18-30827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "LLANO",
            "prefix": "MRS.",
            "credential": "BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Cardillo, LCSW
• Carebral Palsy of North Jersey
• Carisk Imaging Ipa, LLC
• Arthur Carminucci, M.D.
• John A Carollo, D M D P A
• Mary Carrillo
• Mitchel S Carter, M.D.
• Sharon Cartwright, LPC, LCADC, CCS
• Jamie Lynn Carvalho, MA, LPC, LCADC
• Charles Castellano, MD

• Behavior Analyst in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.