MEDICARE: SHIRA KARP

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	1-26-87212	TX
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1508400797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRA KARP

Provider Business Mailing Address
First Line	:	5764 CARUTH HAVEN LN APT 3-150
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-1934
Country	:	US
Telephone Number	:	214-957-3831
Fax Number	:

Provider Business Practice Location Address
First Line	:	11551 FOREST CENTRAL DR STE 129
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3969
Country	:	US
Telephone Number	:	469-573-4492
Fax Number	:

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

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	02/17/2026

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Directions to “ SHIRA KARP ” Practice Location

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