Provider Demographics
NPI:1619217718
Name:HUNTER, SHARI (BCBA)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:
Other - Last Name:TANIZAWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCABA
Mailing Address - Street 1:26028 CAYMAN PL
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350
Mailing Address - Country:US
Mailing Address - Phone:714-745-3300
Mailing Address - Fax:
Practice Address - Street 1:26028 CAYMAN PL
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-8503
Practice Address - Country:US
Practice Address - Phone:714-745-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11313869103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst