Gentry, Charmin Rose
Gentry, Charmin Rose is an individual health care provider with primary practice located at 2820 Camino Del Rio S Ste 100 , San Diego CA 92108-3822. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Gentry, Charmin Rose can be contacted via phone (800) 434-8923.Contact Information
Primary practice address
2820 Camino Del Rio S Ste 100
San Diego CA 92108-3822
Phone: (800) 434-8923
Fax: (615) 905-9200
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-22-62808 |
Profile Details
NPI number | 1194248773 |
---|---|
LBN Legal business name | Gentry, Charmin Rose |
Credentials | BCBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2017 |
Last updated | Jul 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194248773 | NPPES |
Other | 0-17-7794 | BEHAVIOR ANALYST CERTIFICATION BOARD, INC. (BACB) | |
Other | 1-22-62808 | BEHAVIOR ANALYST CERTIFICATION BOARD, INC. (BACB) |
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