Carrie Felty, BCBA
Behavior Analyst in South Bend, IN. Individual provider (NPI-1).
NPI number1790455129
StatusActive
Last updated in NPPESSep 16, 2021
Details
- NPI
- 1790455129
- Entity type
- Individual (NPI-1)
- Name
- Carrie Felty
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2021
- Certification date
- Sep 16, 2021
- Last updated
- Sep 16, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1827 E Ireland RdSouth Bend, IN 46614-2845
Phone 574-387-4313 · Fax 855-940-0177
Mailing address
1824 Touby Pike Ste BKokomo, IN 46901-2573
Phone 765-628-7400 · Fax 855-940-0177
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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