Provider Demographics
NPI:1518584275
Name:SHEARER, CARIN (BCBA, LBA)
Entity Type:Individual
Prefix:DR
First Name:CARIN
Middle Name:
Last Name:SHEARER
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3813 PARK PL
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4422
Mailing Address - Country:US
Mailing Address - Phone:469-939-3591
Mailing Address - Fax:
Practice Address - Street 1:3813 PARK PL
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4422
Practice Address - Country:US
Practice Address - Phone:469-939-3591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1797103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst