Provider Demographics
NPI:1841956786
Name:STONE, CARRIE JEAN (BCBA)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:JEAN
Last Name:STONE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 SE BATTERY DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-5163
Mailing Address - Country:US
Mailing Address - Phone:816-944-7988
Mailing Address - Fax:
Practice Address - Street 1:3020 S 7TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-2602
Practice Address - Country:US
Practice Address - Phone:913-258-5322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2023-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician