Healthcare Provider Details

I. General information

NPI: 1598686016
Provider Name (Legal Business Name): NORAH ANSLEY CARPENTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

882 JACKSON AVE
WINTER PARK FL
32789-4667
US

IV. Provider business mailing address

2594 LITTLE HILL CV APT 202
OVIEDO FL
32765-6654
US

V. Phone/Fax

Practice location:
  • Phone: 407-635-5836
  • Fax:
Mailing address:
  • Phone: 352-630-1539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT25485485
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: