Provider Demographics
NPI:1407034408
Name:FIELDING, CHERYL (PHD, BCBA)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:FIELDING
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2806 TARA DR
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-6937
Mailing Address - Country:US
Mailing Address - Phone:956-821-3601
Mailing Address - Fax:956-782-8604
Practice Address - Street 1:2806 TARA DR
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6937
Practice Address - Country:US
Practice Address - Phone:956-821-3601
Practice Address - Fax:956-782-8604
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-01
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2016103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst