Provider Demographics
NPI:1447068937
Name:KARA CARLSON LLC
Entity type:Organization
Organization Name:KARA CARLSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:949-485-8049
Mailing Address - Street 1:5725 S VALLEY VIEW BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3122
Mailing Address - Country:US
Mailing Address - Phone:949-485-8049
Mailing Address - Fax:
Practice Address - Street 1:5725 S VALLEY VIEW BLVD STE 5
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-3122
Practice Address - Country:US
Practice Address - Phone:949-485-8049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty