MEDICARE: KARA CARLSON LLC

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1447068937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARA CARLSON LLC

Provider Business Mailing Address
First Line	:	5725 S VALLEY VIEW BLVD STE 5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3122
Country	:	US
Telephone Number	:	949-485-8049
Fax Number	:

Provider Business Practice Location Address
First Line	:	5725 S VALLEY VIEW BLVD STE 5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3122
Country	:	US
Telephone Number	:	949-485-8049
Fax Number	:

Authorized Official
Title or Position	:	CHIEF ADMINISTRATIVE OFFICER
Name	:	KATIE ELIZABETH STEIN
Credential	:	RBT
Telephone Number	:	949-485-8049

Provider Enumeration Date	:	12/30/2024
Last Update Date	:	01/10/2025

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Directions to “KARA CARLSON LLC ” Practice Location

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