MEDICARE: ASIA CAREY

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		AZ
2	103K00000X	Behavior Analyst	0133002963	VA

General Provider Information

NPI Number	:	1477248961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASIA CAREY

Provider Business Mailing Address
First Line	:	2513 MARCHIA LN
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22902-7630
Country	:	US
Telephone Number	:	434-996-0061
Fax Number	:

Provider Business Practice Location Address
First Line	:	3310 N 19TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-5701
Country	:	US
Telephone Number	:	855-772-8847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2023
Last Update Date	:	02/02/2026

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Directions to “ ASIA CAREY ” Practice Location

Language	Start Address	Practice Location

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