Provider Demographics
NPI:1619108818
Name:CHARIN, LAURA MARIKA (BCABA)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:MARIKA
Last Name:CHARIN
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CARRIAGE LN
Mailing Address - Street 2:SUITE 302
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6065
Mailing Address - Country:US
Mailing Address - Phone:703-851-0860
Mailing Address - Fax:843-573-1926
Practice Address - Street 1:4 CARRIAGE LN
Practice Address - Street 2:SUITE 302
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6065
Practice Address - Country:US
Practice Address - Phone:703-851-0860
Practice Address - Fax:843-573-1926
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst