NPI 1003196098 · live from the CMS NPI Registry
Kaylon Mims Carpenter
Behavior Analyst in Owens Cross Roads, AL. National Provider Identifier 1003196098, active.
NPI record
| NPI | 1003196098 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 7026 Southgate Dr Se, Owens Cross Roads, AL 35763 |
| Practice phone | 205-862-3365 |
| Enumerated | August 22, 2011 |
| Last updated | March 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Analyst primary | 103K00000X | 2017-123 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.