Carolyn Northup, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

730 SW 4TH St Ste 6
Cape Coral, FL 33991-1984

Phone

(239) 910-0712

NPI assigned

Jul 14, 2016

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

Locations

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.

• Family Initiative Incorporated

  • Behavior Analyst
  • Cape Coral, FL
  • NPI 1104275551
  NPD

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1982057915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SW 4TH ST STE 6",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911984",
            "telephone_number": "239-910-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SW 4TH ST STE 6",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911984",
            "telephone_number": "239-910-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 S Osprey Ave",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342366805",
            "country_code": "US",
            "telephone_number": "941-404-3721",
            "fax_number": "941-296-7285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTHUP",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Alejandro Nogueira Breijo
• North Cape Coral Dental
• Northland Hearing Center, Inc.
• Northland Hearing Center, Inc.
• Northland Hearing Center, Inc.
• Donald W Norton, DMD
• Elin Notario Farina
• Nova Alliance Behavioral Services Inc
• Novachris Corporation
• Barbara M Novak, ARNP

• All providers in Cape Coral, FL
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.