NPI 1124637707 · live from the CMS NPI Registry
Hallie Carroll
Behavior Analyst in Bonifay, FL. National Provider Identifier 1124637707, active.
NPI record
| NPI | 1124637707 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 211 W Iowa Ave, Bonifay, FL 32425 |
| Practice phone | 850-419-5061 |
| Mailing address | 208 S 9th Ave, Hartford, AL 36344 |
| Enumerated | July 29, 2020 |
| Last updated | February 4, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Assistant Behavior Analyst | 106E00000X | 0-21-13024 |
| Behavior Analyst primary | 103K00000X | 1-26-87452 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.