Provider Demographics
NPI:1558504159
Name:YODER, SHERRI MICHELLE (PSYD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:MICHELLE
Last Name:YODER
Suffix:
Gender:F
Credentials:PSYD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3367
Mailing Address - Country:US
Mailing Address - Phone:540-717-3591
Mailing Address - Fax:855-258-4022
Practice Address - Street 1:44 CHESTER ST
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3367
Practice Address - Country:US
Practice Address - Phone:540-717-3591
Practice Address - Fax:855-258-4022
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-13
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-07-3973103K00000X
VA0810004264103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst