Provider Demographics
NPI:1760146682
Name:POUNDS, CARLETTA DESIREE (BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:CARLETTA
Middle Name:DESIREE
Last Name:POUNDS
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:MRS
Other - First Name:CARLETTA
Other - Middle Name:DESIREE
Other - Last Name:KIMMINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7108 S KANNER HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7462
Mailing Address - Country:US
Mailing Address - Phone:855-832-6727
Mailing Address - Fax:772-675-9100
Practice Address - Street 1:555 SPRING PARK CENTER BLVD APT 7101
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-8228
Practice Address - Country:US
Practice Address - Phone:832-475-1315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106E00000X, 106S00000X
TX6377103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician