Provider Demographics
NPI:1689818080
Name:ENGLISH, CARIE L (PHD, BCBA)
Entity Type:Individual
Prefix:
First Name:CARIE
Middle Name:L
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 W PEARL AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-3929
Mailing Address - Country:US
Mailing Address - Phone:813-817-4586
Mailing Address - Fax:813-831-8295
Practice Address - Street 1:3315 W PEARL AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-3929
Practice Address - Country:US
Practice Address - Phone:813-817-4586
Practice Address - Fax:813-831-8295
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-05-2215103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst