Provider Demographics
NPI:1962947440
Name:O'BRIEN, SHERIDAN CHAMBERS (BCBA)
Entity type:Individual
Prefix:MRS
First Name:SHERIDAN
Middle Name:CHAMBERS
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MS
Other - First Name:SHERIDAN
Other - Middle Name:MICHELLE
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:1131 CAMERON COVE CIR
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:AL
Mailing Address - Zip Code:35094-7808
Mailing Address - Country:US
Mailing Address - Phone:205-394-4036
Mailing Address - Fax:
Practice Address - Street 1:120 19TH ST N STE 326
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-3234
Practice Address - Country:US
Practice Address - Phone:205-394-4036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-20
Last Update Date:2020-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst