Provider Demographics
NPI:1831891696
Name:BARBER, LASHARRA VALISHA (RBT)
Entity type:Individual
Prefix:
First Name:LASHARRA
Middle Name:VALISHA
Last Name:BARBER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 MCKINNON DR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-2500
Mailing Address - Country:US
Mailing Address - Phone:803-487-7393
Mailing Address - Fax:
Practice Address - Street 1:1110 MCKINNON DR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2500
Practice Address - Country:US
Practice Address - Phone:803-487-7393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst