Provider Demographics
NPI:1275965253
Name:SCHEETS, CARLY ANN (BCBA)
Entity Type:Individual
Prefix:MS
First Name:CARLY
Middle Name:ANN
Last Name:SCHEETS
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 1:2 PIN OAK LANE
Mailing Address - Street 2:NEW BEHAVIOR NETWORK
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003
Mailing Address - Country:US
Mailing Address - Phone:856-669-0211
Mailing Address - Fax:
Practice Address - Street 1:2 PIN OAK LANE
Practice Address - Street 2:NEW BEHAVIOR NETWORK
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003
Practice Address - Country:US
Practice Address - Phone:856-669-0211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst