Provider Demographics
NPI:1639564198
Name:DRUCKER, CHARVET (MED, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:CHARVET
Middle Name:
Last Name:DRUCKER
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 S BURLINGTON BLVD # 465
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-3223
Mailing Address - Country:US
Mailing Address - Phone:360-333-5684
Mailing Address - Fax:
Practice Address - Street 1:1777 S. BURLINGTON BLVD. #465
Practice Address - Street 2:SUITE F
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-9823
Practice Address - Country:US
Practice Address - Phone:360-333-5684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-15-18450103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst