Provider Demographics
NPI:1982086625
Name:RHOTEN, SHERRY (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:RHOTEN
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:PO BOX 62
Mailing Address - Street 2:2156 B NELSON DR.,
Mailing Address - City:CAMP NELSON
Mailing Address - State:CA
Mailing Address - Zip Code:93208-0062
Mailing Address - Country:US
Mailing Address - Phone:559-542-0103
Mailing Address - Fax:
Practice Address - Street 1:5415 AVENIDA DE LOS ROBLES
Practice Address - Street 2:SUITE 102
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5369
Practice Address - Country:US
Practice Address - Phone:559-542-0103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-13-13538103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst