Provider Demographics
NPI:1659501427
Name:BARNES, HEATHER LYNN (MS, NCC, BCBA, LBS)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:LYNN
Last Name:BARNES
Suffix:
Gender:F
Credentials:MS, NCC, BCBA, LBS
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:LYNN
Other - Last Name:FRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, NCC, BCBA
Mailing Address - Street 1:513A TOURIST PARK RD
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:PA
Mailing Address - Zip Code:17032-8988
Mailing Address - Country:US
Mailing Address - Phone:717-512-1962
Mailing Address - Fax:
Practice Address - Street 1:513A TOURIST PARK RD
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:PA
Practice Address - Zip Code:17032-8988
Practice Address - Country:US
Practice Address - Phone:717-512-1962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-08-4819103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst