Provider Demographics
NPI:1326916115
Name:BARKHURST, CYRUS RICHARD II
Entity type:Individual
Prefix:
First Name:CYRUS
Middle Name:RICHARD
Last Name:BARKHURST
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2736 SHADES CREST RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1037
Mailing Address - Country:US
Mailing Address - Phone:205-836-9923
Mailing Address - Fax:
Practice Address - Street 1:1221 ALTON DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35210-4308
Practice Address - Country:US
Practice Address - Phone:205-836-9923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL106E00000X106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst