Provider Demographics
NPI:1023638301
Name:SHARKEY, ERIN NOEL (BCBA)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:NOEL
Last Name:SHARKEY
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 1:8428 BIG HORN WAY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76137-5730
Mailing Address - Country:US
Mailing Address - Phone:609-713-9764
Mailing Address - Fax:
Practice Address - Street 1:8428 BIG HORN WAY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-5730
Practice Address - Country:US
Practice Address - Phone:609-713-9764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-21-49656103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst