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NPI Code Detail

MEDICARE: MS. ASHANTI MAKI CARTER BCABA

MEDICARE: MS. ASHANTI MAKI CARTER BCABA
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
1106S00000XBehavior TechnicianRBT-22-202145IL
2106E00000XAssistant Behavior Analyst7049TX
3106E00000XAssistant Behavior Analyst0-24-15134IN

General Provider Information

NPI Number : 1588148068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHANTI MAKI CARTER BCABA
Provider Business Mailing Address
First Line : 2045 E 84TH ST APT 2B
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-5087
Country : US
Telephone Number : 708-964-3073
Fax Number :
Provider Business Practice Location Address
First Line : 421 N SAM RAYBURN FWY # 100
Second Line :
City : SHERMAN
State : TX
Zip : 75090-5863
Country : US
Telephone Number : 214-778-1153
Fax Number : 214-778-1153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2018
Last Update Date : 08/06/2024

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