CHARMIN ROSE GENTRY BCBA
NPI 1194248773
Behavior Analyst in San Diego, CA

Q: What is Charmin Rose Gentry's NPI number?

The NPI number for Charmin Rose Gentry is 1194248773. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Q: What is Charmin Rose Gentry's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since July 25, 2017

2820 CAMINO DEL RIO S STE 100, SAN DIEGO, CA 92108(800) 434-8923(615) 905-9200 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2023, Dec 15, 2022, Jun 3, 2021 and 1 more (4 updates tracked since 2017).

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About Charmin Rose Gentry Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARMIN ROSE GENTRY BCBA (NPI 1194248773) is an individual behavior analyst provider in San Diego, California, licensed in (1-22-62808) and active in the NPI registry since July 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194248773

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameCHARMIN ROSE GENTRYCredential: BCBA

Location Address2820 CAMINO DEL RIO S STE 100San Diego, CA 92108-3822

Mailing Address2820 Camino Del Rio S Ste 100San Diego, CA 92108-3822 · (800) 434-8923 · Fax (615) 905-9200

Phone(800) 434-8923

Fax(615) 905-9200

Sole ProprietorNo

Enumeration DateJuly 25, 2017

Last NPPES UpdateJuly 21, 20234 updates tracked since enumeration

NPPES CertifiedJuly 21, 2023

✔ NPI 1194248773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed · 1-22-62808

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedAssistant Behavior AnalystTaxonomy 106E00000X

2820 CAMINO DEL RIO S STE 100, San Diego, CA 92108

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Secondary Practice Locations 2

Location 1501 W Broadway Ste 800San Diego, CA 92101-3546 · Phone (877) 418-2978

Location 27860 Mission Center Ct Ste 100San Diego, CA 92108-1330 · Phone (619) 272-0090

Other Identifiers 2

Other0-17-7794Behavior Analyst Certification Board, Inc. (bacb)

Other1-22-62808CA · Behavior Analyst Certification Board, Inc. (bacb)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA RENEE WOLF

Behavior Technician