Provider Demographics
NPI:1083856181
Name:GREER, CARRIE H (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:H
Last Name:GREER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:H
Other - Last Name:HAYCRAFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5104 SEALANDS LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-8416
Mailing Address - Country:US
Mailing Address - Phone:682-478-5992
Mailing Address - Fax:
Practice Address - Street 1:5104 SEALANDS LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-8416
Practice Address - Country:US
Practice Address - Phone:682-478-5992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1446103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst