Provider Demographics
NPI:1255829073
Name:WINSTEAD, CHARLES (BCBA)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:WINSTEAD
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 MAURY DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-2446
Mailing Address - Country:US
Mailing Address - Phone:251-654-5478
Mailing Address - Fax:
Practice Address - Street 1:53 MAURY DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-2446
Practice Address - Country:US
Practice Address - Phone:251-654-5478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst