Provider Demographics
NPI:1053670380
Name:RAGAN, SHERRI (BCBA, LMFT)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:
Last Name:RAGAN
Suffix:
Gender:F
Credentials:BCBA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 SEACLIFF CT UNIT 3
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6020
Mailing Address - Country:US
Mailing Address - Phone:818-298-4575
Mailing Address - Fax:805-650-1385
Practice Address - Street 1:1275 SEACLIFF CT UNIT 3
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6020
Practice Address - Country:US
Practice Address - Phone:818-298-4575
Practice Address - Fax:805-650-1385
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-07
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84773106H00000X
CA1-11-9726103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst