Healthcare Provider Details

I. General information

NPI: 1588148068
Provider Name (Legal Business Name): ASHANTI MAKI CARTER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2018
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 W SPRING CREEK PKWY STE 280
PLANO TX
75024-4321
US

IV. Provider business mailing address

12192 MORGAN DR
AUBREY TX
76227-6162
US

V. Phone/Fax

Practice location:
  • Phone: 469-985-3821
  • Fax:
Mailing address:
  • Phone: 708-964-3073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-87610
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number9882
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: