Provider Demographics
NPI:1568715704
Name:TURNBOO, CHERYL (BCBA)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:TURNBOO
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 1:337 GRIFFITH RD
Mailing Address - Street 2:
Mailing Address - City:DIAMOND SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95619-9314
Mailing Address - Country:US
Mailing Address - Phone:530-417-3596
Mailing Address - Fax:530-621-1397
Practice Address - Street 1:337 GRIFFITH ROAD
Practice Address - Street 2:
Practice Address - City:DIAMOND SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:95619
Practice Address - Country:US
Practice Address - Phone:530-417-3596
Practice Address - Fax:530-344-9370
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-08-4548103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst