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NPI Code Detail

MEDICARE: DANA CARRIES MSED, BCBA, LBA

MEDICARE: DANA CARRIES MSED, BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst000656NY
2174400000XSpecialist
3103K00000XBehavior Analyst1-14-10299GA

General Provider Information

NPI Number : 1265796601
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA CARRIES MSED, BCBA, LBA
Provider Business Mailing Address
First Line : 542 AMHERST ST STE B
Second Line :
City : NASHUA
State : NH
Zip : 03063-1016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4300 ALEXANDER DR STE 200
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-3780
Country : US
Telephone Number : 888-796-0973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2012
Last Update Date : 05/15/2025

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