Basic Information
| Provider Information | |||||||||
| NPI: | 1831325158 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRENCH | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D, BCBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 502 COUNTRY CLUB DR | ||||||||
| Address2: | |||||||||
| City: | TRENT WOODS | ||||||||
| State: | NC | ||||||||
| PostalCode: | 285624512 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2522885568 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 500 FAIRWAY DR | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | DEERFIELD BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334411814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9546037885 | ||||||||
| FaxNumber: | 9543420273 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2009 | ||||||||
| LastUpdateDate: | 12/15/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1-09-5113 | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.