Provider Demographics
NPI:1801216932
Name:COINER, SHARON (BCABA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:COINER
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:884 S CLUB HOUSE RD
Mailing Address - Street 2:APT. 6
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-6439
Mailing Address - Country:US
Mailing Address - Phone:757-292-7016
Mailing Address - Fax:
Practice Address - Street 1:884 S CLUB HOUSE RD
Practice Address - Street 2:APT. 6
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6439
Practice Address - Country:US
Practice Address - Phone:757-292-7016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst