Provider Demographics
NPI:1174095111
Name:ARRINGTON, CHARLOTTE RENEE (BCBA)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:RENEE
Last Name:ARRINGTON
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 1:1027 DOMAIN DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-2511
Mailing Address - Country:US
Mailing Address - Phone:301-606-0681
Mailing Address - Fax:
Practice Address - Street 1:5000 GREENBAG RD STE A1
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-7123
Practice Address - Country:US
Practice Address - Phone:301-606-0681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1-18-34306103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst