Provider Demographics
NPI:1023846516
Name:TURNER, CANDYCE MICHELLE (BCBA)
Entity type:Individual
Prefix:
First Name:CANDYCE
Middle Name:MICHELLE
Last Name:TURNER
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 1:20 COURTHOUSE SQ
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TN
Mailing Address - Zip Code:37347-3530
Mailing Address - Country:US
Mailing Address - Phone:256-797-9920
Mailing Address - Fax:423-805-9889
Practice Address - Street 1:20 COURTHOUSE SQ
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TN
Practice Address - Zip Code:37347-3530
Practice Address - Country:US
Practice Address - Phone:256-797-9920
Practice Address - Fax:423-805-9889
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2017-133103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst