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NPI Code Detail

MEDICARE: MR. JONATHAN HEATH SHERRER BCBA

MEDICARE: MR. JONATHAN HEATH SHERRER BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-06-2956AL

General Provider Information

NPI Number : 1568808319
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JONATHAN HEATH SHERRER BCBA
Provider Business Mailing Address
First Line : 10063 ROCKWELL SCHOOL DR STE D
Second Line :
City : SPANISH FORT
State : AL
Zip : 36527-8511
Country : US
Telephone Number : 251-210-8200
Fax Number : 251-249-9942
Provider Business Practice Location Address
First Line : 10063 ROCKWELL SCHOOL DR STE D
Second Line :
City : SPANISH FORT
State : AL
Zip : 36527-8511
Country : US
Telephone Number : 251-210-8200
Fax Number : 251-249-9942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2013
Last Update Date : 05/07/2026

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