Provider Demographics
NPI:1104179241
Name:SHERMAN, WHITNEY (BCBA)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:CLEMENTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:2323 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75702-7704
Mailing Address - Country:US
Mailing Address - Phone:903-597-1351
Mailing Address - Fax:903-535-7386
Practice Address - Street 1:2323 W FRONT ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-7747
Practice Address - Country:US
Practice Address - Phone:903-597-1351
Practice Address - Fax:903-535-7384
Is Sole Proprietor?:No
Enumeration Date:2012-10-25
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-12-12544103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst