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:
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Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
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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