Provider Demographics
NPI:1275906083
Name:STONE, SHARON (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:STONE
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 1:134 HANSOM TRAIL ST
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2639
Mailing Address - Country:US
Mailing Address - Phone:832-797-4422
Mailing Address - Fax:
Practice Address - Street 1:134 HANSOM TRAIL ST
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2639
Practice Address - Country:US
Practice Address - Phone:832-797-4422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-15-19535103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst