Provider Demographics
NPI:1598819906
Name:BARBARICH, JAMIE C (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:C
Last Name:BARBARICH
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 1:8209 HILLSBORO CT
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-7510
Mailing Address - Country:US
Mailing Address - Phone:570-380-6504
Mailing Address - Fax:570-380-6505
Practice Address - Street 1:8209 HILLSBORO CT
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-7510
Practice Address - Country:US
Practice Address - Phone:570-380-6504
Practice Address - Fax:570-380-6505
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor