Doctor Name: | MS. JOAN MARY EBERHART |
NPI Number: | 1447410212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BCBA |
License Number: | 1-05-2210 |
Business Practice Address: | 513 Sw Camden Ave Stuart, FL - 349942921 |
Business Phone Number: | 7722197575 |
Business Fax Number: | 7722199189 |
Mailing Address: | 513 Sw Camden Ave, STUART |
State: | FL |
Postal Code: | 349942921 |
Phone Number: | 7722197575 |
Fax Number: | 7722199189 |
NPI Enumeration Date: | 06/14/2008 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1-05-2210 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |