MCKENNA CARROLL M.A., LBA, BCBA
NPI 1275010472
Behavior Analyst in Portland, OR

Q: What is Mckenna Carroll's NPI number?

The NPI number for Mckenna Carroll is 1275010472. It was assigned to this individual provider in the NPPES registry on July 20, 2018.

Q: What is Mckenna Carroll's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Mckenna Carroll was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 20, 2018

1827 NE 44TH AVE STE 390, PORTLAND, OR 97213(503) 963-6494 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2023, Oct 17, 2019, Jul 20, 2018 (3 updates tracked since 2018).

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About Mckenna Carroll M.a., Lba, Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKENNA CARROLL M.A., LBA, BCBA (NPI 1275010472) is an individual behavior analyst provider in Portland, Oregon, licensed in Oregon (ABA-B-10214970) and active in the NPI registry since July 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275010472

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMCKENNA CARROLLCredential: M.A., LBA, BCBA

Location Address1827 NE 44TH AVE STE 390Portland, OR 97213-1461

Mailing Address845 1st AveVernonia, OR 97064-1001 · (979) 525-9581

Phone(503) 963-6494

Sole ProprietorNo

Enumeration DateJuly 20, 2018

Last NPPES UpdateMarch 9, 20233 updates tracked since enumeration

NPPES CertifiedMarch 9, 2023

✔ NPI 1275010472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Licenses✔ Licensed in OR · ABA-B-10214970✔ Licensed in TX · 3097

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X

1827 NE 44TH AVE STE 390, Portland, OR 97213

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Secondary Practice Locations 2

Location 126315 Oak Ridge DrSpring, TX 77380-1962 · Phone (281) 651-5120

Location 22515 Superior RdMagnolia, TX 77354-1431 · Phone (512) 940-3869

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE ALEXIS DEARMAN

Behavior Technician