Provider Demographics
NPI:1063737971
Name:HEBERT, DAVID J (DC, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:HEBERT
Suffix:
Gender:M
Credentials:DC, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3344 N LEANNA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93737-9251
Mailing Address - Country:US
Mailing Address - Phone:559-375-1395
Mailing Address - Fax:
Practice Address - Street 1:37737 PETERSON RD
Practice Address - Street 2:
Practice Address - City:AUBERRY
Practice Address - State:CA
Practice Address - Zip Code:93602-9502
Practice Address - Country:US
Practice Address - Phone:559-375-1395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-02
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-07-3544103K00000X
CA18446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No111N00000XChiropractic ProvidersChiropractor