Provider Demographics
NPI:1699360487
Name:CARTER, AALIYAH (MA,BCBA,LBA)
Entity Type:Individual
Prefix:
First Name:AALIYAH
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MA,BCBA,LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 S I 35 E APT 1913
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-4967
Mailing Address - Country:US
Mailing Address - Phone:940-312-8960
Mailing Address - Fax:
Practice Address - Street 1:3305 LONG PRAIRIE RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2702
Practice Address - Country:US
Practice Address - Phone:972-453-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-23-69502103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst