Provider Demographics
NPI:1124894878
Name:BARKER, SHIRLEY LIAO (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:LIAO
Last Name:BARKER
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:XIANG
Other - Middle Name:PEN
Other - Last Name:LIAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2606 MOBLEY MILL RD
Mailing Address - Street 2:
Mailing Address - City:COXS CREEK
Mailing Address - State:KY
Mailing Address - Zip Code:40013-7659
Mailing Address - Country:US
Mailing Address - Phone:502-689-6478
Mailing Address - Fax:
Practice Address - Street 1:2606 MOBLEY MILL RD
Practice Address - Street 2:
Practice Address - City:COXS CREEK
Practice Address - State:KY
Practice Address - Zip Code:40013-7659
Practice Address - Country:US
Practice Address - Phone:502-689-6478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133004108103K00000X
1-24-78027103K00000X
KY297039103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-24-78027OtherBCBA CERTIFICATE