Provider Demographics
NPI:1073681821
Name:FRANTZ-MAHONEY, SHARMON ELIZABETH (BCBA)
Entity Type:Individual
Prefix:MS
First Name:SHARMON
Middle Name:ELIZABETH
Last Name:FRANTZ-MAHONEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:SHARMON
Other - Middle Name:ELIZABETH
Other - Last Name:FRANTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 NARYA TRACE
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:IL
Mailing Address - Zip Code:62902-7448
Mailing Address - Country:US
Mailing Address - Phone:618-351-1797
Mailing Address - Fax:
Practice Address - Street 1:6 NARYA TRACE
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62902-7448
Practice Address - Country:US
Practice Address - Phone:618-351-1797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health