Healthcare Provider Details

I. General information

NPI: 1891502977
Provider Name (Legal Business Name): ALLISON WARREN CARTER RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W NINE MILE RD STE C
PENSACOLA FL
32534-1954
US

IV. Provider business mailing address

PO BOX 259
SHALIMAR FL
32579-0259
US

V. Phone/Fax

Practice location:
  • Phone: 850-362-6824
  • Fax:
Mailing address:
  • Phone: 850-362-6824
  • Fax: 850-362-6826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-17260
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: