Provider Demographics
NPI:1942563317
Name:STEELE, CHARITY LYNN (MS, BCBA)
Entity Type:Individual
Prefix:MS
First Name:CHARITY
Middle Name:LYNN
Last Name:STEELE
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1747 PINE ST
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-1937
Mailing Address - Country:US
Mailing Address - Phone:209-531-6006
Mailing Address - Fax:
Practice Address - Street 1:1747 PINE ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-1937
Practice Address - Country:US
Practice Address - Phone:209-531-6006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-10-7130103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst