Provider Demographics
NPI:1164836466
Name:CROWN BEHAVIOR SERVICES, INC.
Entity Type:Organization
Organization Name:CROWN BEHAVIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:M
Authorized Official - Last Name:YODER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:540-717-3591
Mailing Address - Street 1:44 CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3367
Mailing Address - Country:US
Mailing Address - Phone:540-717-3591
Mailing Address - Fax:855-258-4022
Practice Address - Street 1:44 CHESTER ST
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3367
Practice Address - Country:US
Practice Address - Phone:540-717-3591
Practice Address - Fax:855-258-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000197103K00000X
VA0810004264103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1558504159OtherNPI