Provider Demographics
NPI:1346618865
Name:SENDI, CAROLYN (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:
Last Name:SENDI
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7270 YATES FORD RD
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20111-3906
Mailing Address - Country:US
Mailing Address - Phone:571-215-3496
Mailing Address - Fax:
Practice Address - Street 1:7270 YATES FORD RD
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20111-3906
Practice Address - Country:US
Practice Address - Phone:571-215-3496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1-15-18492103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst