MEDICARE: CARRIE-ANN LAVERY

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	LBA.BA.70091645	WA

General Provider Information

NPI Number	:	1982282323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE-ANN LAVERY

Provider Business Mailing Address
First Line	:	1105D 15TH AVE # 123
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-3080
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:	772-675-9100

Provider Business Practice Location Address
First Line	:	1105D 15TH AVE # 123
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-3080
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:	772-675-9100

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

Provider Enumeration Date	:	03/29/2021
Last Update Date	:	04/07/2026

Similar Medicare Providers

1164699013 — AMANDA RENEE HART CC, LMT
Practice Location Address:

1105 15TH AVE STE F
LONGVIEW, WA
98632-3080

Practice Phone: 360-703-6499
Practice Fax: 360-838-9902

1861956492 — MRS. ALEXIS CORINNE NORMANDEAU ME
Practice Location Address:

1105D 15TH AVE , #123
LONGVIEW, WA
98632-3080

Practice Phone: 185-583-2672
Practice Fax:

1184477507 — HAVEN MIND BODY COLLECTIVE, LLC
Practice Location Address:

1105 15TH AVE STE F
LONGVIEW, WA
98632-3080

Practice Phone: 360-703-6499
Practice Fax:

1427997279 — SARAH PRYOR LMT
Practice Location Address:

1105 15TH AVE STE F
LONGVIEW, WA
98632-3080

Practice Phone: 360-762-4806
Practice Fax:

1972550630 — DR. MARC J MEADOWS DDS
Practice Location Address:

3080 N EASTMAN RD
LONGVIEW, TX
75605-5174

Practice Phone: 903-309-2152
Practice Fax:

1861985756 — RENITA COX DDS
Practice Location Address:

3080 N EASTMAN RD
LONGVIEW, TX
75605-5174

Practice Phone: 281-777-3866
Practice Fax:

Directions to “ CARRIE-ANN LAVERY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.