Provider Demographics
NPI:1164906566
Name:CARLSON, KARA SHEREE (M ED, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:SHEREE
Last Name:CARLSON
Suffix:
Gender:F
Credentials:M ED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5725 S VALLEY VIEW BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3122
Mailing Address - Country:US
Mailing Address - Phone:408-406-0415
Mailing Address - Fax:
Practice Address - Street 1:5725 S VALLEY VIEW BLVD STE 5
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-3122
Practice Address - Country:US
Practice Address - Phone:949-485-8049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBA0642103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst