Provider Demographics
NPI:1710294327
Name:SCHARRE, HEATHER JO KNOWLES (MA, BCBA)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:JO KNOWLES
Last Name:SCHARRE
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4920 BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2109
Mailing Address - Country:US
Mailing Address - Phone:703-919-3449
Mailing Address - Fax:
Practice Address - Street 1:4920 BIRCH LN
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2109
Practice Address - Country:US
Practice Address - Phone:703-919-3449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-02
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
VA2204001321235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst