Provider Demographics
NPI:1710294327
Name:SCHARRE, HEATHER JO KNOWLES (MA, BCBA)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:JO KNOWLES
Last Name:SCHARRE
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11307
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-0907
Mailing Address - Country:US
Mailing Address - Phone:202-630-1484
Mailing Address - Fax:
Practice Address - Street 1:4876 WEST BRADDOCK ROAD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311
Practice Address - Country:US
Practice Address - Phone:202-630-1484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst