Provider Demographics
NPI:1659674786
Name:SCHERBARTH, ANDREW (PHD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:SCHERBARTH
Suffix:
Gender:M
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 RICHARD AVE APT HB2
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-1237
Mailing Address - Country:US
Mailing Address - Phone:940-594-3172
Mailing Address - Fax:
Practice Address - Street 1:346 RICHARD AVE APT HB2
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-1237
Practice Address - Country:US
Practice Address - Phone:940-594-3172
Practice Address - Fax:904-212-0309
Is Sole Proprietor?:No
Enumeration Date:2010-12-12
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-11-8810103K00000X
NY023165-01103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst