Provider Demographics
NPI:1831325158
Name:FRENCH, HEATHER M (PHD, BCBA)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:M
Last Name:FRENCH
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:502 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:TRENT WOODS
Mailing Address - State:NC
Mailing Address - Zip Code:28562-4512
Mailing Address - Country:US
Mailing Address - Phone:252-288-5568
Mailing Address - Fax:
Practice Address - Street 1:500 FAIRWAY DR
Practice Address - Street 2:SUITE 102
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-1814
Practice Address - Country:US
Practice Address - Phone:954-603-7885
Practice Address - Fax:954-342-0273
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-09-5113103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst